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1790799757
LARA MARIE DICUS
DENVER, CO
NPI
1790799757
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CO 768)
Enumeration Date
2006-07-27
Last Update Date
2016-07-15
Business Address
-- LARA MARIE DICUS LCSW
2111 CHAMPA ST
DENVER, CO 80205-2529
Phone number: 303-312-9509
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Mailing Address
-- LARA MARIE DICUS LCSW
2111 CHAMPA ST
DENVER, CO 80205-2529
Phone number: 303-312-9509
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