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Organization
T.HORN ENTERPRISES, INC,
Active
Organization
T.HORN ENTERPRISES, INC,
Active
Other names
dba Family Room CO.,Stacey Horn, LCSW
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STACEY HORN MSSA (THERAPIST)
(970) 616-4401
Entity
Organization
Contact information
Practice address
407 BROADWAY, #2, EAGLE, CO 81631-6042
(970) 616-4401
(970) 616-4401
Mailing address
PO BOX 6042, EAGLE, CO 81631-6042
(970) 616-4401
(970) 616-4401
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
639
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38820773
—
CO
Enumeration date
05/14/2010
Last updated
05/08/2014
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