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1831255058
LYDIA M HERBERT
CANON CITY, CO
NPI
1831255058
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CO 991837)
Enumeration Date
2006-12-29
Last Update Date
2019-12-18
Business Address
Ms. LYDIA M HERBERT LCSW
3225 INDEPENDENCE RD.
CANON CITY, CO 81212
Phone number: 719-275-2351
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Mailing Address
Ms. LYDIA M HERBERT LCSW
712 YALE PL APT A
CANON CITY, CO 81212-4647
Phone number: 719-431-7057
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