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1790923670
RENA SUSAN DEREZIN
BLACK HAWK, CO
NPI
1790923670
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: CO 5066)
Enumeration Date
2009-01-30
Last Update Date
2009-08-25
Business Address
-- RENA SUSAN DEREZIN M.A., L.P.C., N.C.C.
135 CLEAR CREEK STREET
BLACK HAWK, CO 80422-0418
Phone number: 303-807-2750
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Mailing Address
-- RENA SUSAN DEREZIN M.A., L.P.C., N.C.C.
PO BOX 139
SILVERTHORNE, CO 80498-0139
Phone number: 303-807-2750
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