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1841704897
STEPHANIE DANA LEYBA
PUEBLO, CO
NPI
1841704897
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CO ACA0007578)
Enumeration Date
2017-11-29
Last Update Date
2017-11-29
Business Address
STEPHANIE DANA LEYBA BA, CACI
3500 BALTIMORE AVE
PUEBLO, CO 81008-1543
Phone number: 719-545-1181
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Mailing Address
STEPHANIE DANA LEYBA BA, CACI
3500 BALTIMORE AVE
PUEBLO, CO 81008-1543
Phone number: 719-545-1181
Copy
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