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1992943112
STACEY LECLAIR
WHEAT RIDGE, CO
NPI
1992943112
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2009-01-26
Last Update Date
2009-01-26
Business Address
-- STACEY LECLAIR M.S.
3810 PIERCE ST
WHEAT RIDGE, CO 80033-4940
Phone number: 303-432-5810
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Mailing Address
-- STACEY LECLAIR M.S.
4851 INDEPENDENCE ST SUITE 200
WHEAT RIDGE, CO 80033-6715
Phone number: 303-425-0300
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