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1982920484
ETHEL DELOIS CLAYTON
DENVER, CO
NPI
1982920484
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CO ACC-6626)
Enumeration Date
2010-04-09
Last Update Date
2010-04-09
Business Address
-- ETHEL DELOIS CLAYTON CAC III
990 BANNOCK ST MC7782
DENVER, CO 80204-4028
Phone number: 720-956-2394
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Mailing Address
-- ETHEL DELOIS CLAYTON CAC III
990 BANNOCK ST MC 7782
DENVER, CO 80204-4028
Phone number: 303-436-3536
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