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Individual
SHELLY SOLOPOW
Active
Individual
SHELLY SOLOPOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
6695
CO
101YM0800X
Mental Health Counselor
Primary
5459
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6023058
—
CO
Enumeration date
02/22/2010
Last updated
03/01/2017
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