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1790168813
STEPHANIE MARIE VAN JACOBS
LAKEWOOD, CO
NPI
1790168813
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2015-07-07
Last Update Date
2018-03-17
Business Address
STEPHANIE MARIE VAN JACOBS LCSW, LAC
9485 W COLFAX AVE
LAKEWOOD, CO 80215-3918
Phone number: 303-425-0300
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Mailing Address
STEPHANIE MARIE VAN JACOBS LCSW, LAC
145 MAIN ST
BROOMFIELD, CO 80020-2329
Phone number: 720-338-3796
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