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Organization
LOIS J SANDLAND
Active
Organization
LOIS J SANDLAND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOIS J SANDLAND LCSW (OWNER)
(719) 232-0975
Entity
Organization
Contact information
Practice address
2020 N ACADEMY BLVD STE 2802020, COLORADO SPRINGS, CO 80909-1567
(970) 825-6597
Mailing address
484 N IDLEDALE DR, PUEBLO WEST, CO 81007-1145
(719) 232-0975
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14974287
—
CO
Enumeration date
11/23/2020
Last updated
12/21/2020
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