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1861962995
STACEYEILEEN SHANNON SINCLARE
AURORA, CO
NPI
1861962995
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CO CSW.00992008)
Enumeration Date
2018-12-02
Last Update Date
2018-12-02
Business Address
-- STACEYEILEEN SHANNON SINCLARE LCSW, CAC III
12401 E. 17TH AVE. MAIL STOP F777
AURORA, CO 80045-2548
Phone number: 720-848-5197
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Mailing Address
-- STACEYEILEEN SHANNON SINCLARE LCSW, CAC III
12401 E. 17TH AVE. MAIL STOP F777
AURORA, CO 80045-2548
Phone number: 720-848-5197
Copy
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