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1902325764
ELISSA ELAINE BAKER
FORT COLLINS, CO
NPI
1902325764
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Other Name
ELLISA ELAINE BAKER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CO LPC.0005535)
Enumeration Date
2017-09-13
Last Update Date
2017-09-13
Business Address
Ms. ELISSA ELAINE BAKER LPC
320 W OLIVE ST
FORT COLLINS, CO 80521-2716
Phone number: 970-371-8911
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Mailing Address
Ms. ELISSA ELAINE BAKER LPC
945 LOGAN CT
LOVELAND, CO 80538-3100
Phone number: 970-371-8911
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