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1871581231
STACEY ANNE BLANK
LOVELAND, CO
NPI
1871581231
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CO 3353)
Enumeration Date
2005-10-11
Last Update Date
2019-11-09
Business Address
Ms. STACEY ANNE BLANK LPC
1401 S TAFT AVE STE 206
LOVELAND, CO 80537
Phone number: 970-381-1239
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Mailing Address
Ms. STACEY ANNE BLANK LPC
4670 GEORGETOWN DR
LOVELAND, CO 80538-6231
Phone number: 970-381-1239
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