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1861746976
LESLIE JOAN ECKENROD
THORNTON, CO
NPI
1861746976
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CO 6862)
Enumeration Date
2012-10-29
Last Update Date
2012-10-29
Business Address
LESLIE JOAN ECKENROD CAC III
8801 LIPAN ST
THORNTON, CO 80260-4912
Phone number: 303-412-3812
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Mailing Address
LESLIE JOAN ECKENROD CAC III
8801 LIPAN ST
THORNTON, CO 80260-4912
Phone number: 303-412-3812
Copy
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