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Organization
UNHARNESSED POTENTIAL
Active
Organization
UNHARNESSED POTENTIAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN M SLIVKA (OWNER)
(913) 269-6120
Entity
Organization
Contact information
Practice address
8655 KANE RD, FOUNTAIN, CO 80817-3339
(913) 269-6120
(719) 434-8867
Mailing address
8655 KANE RD, FOUNTAIN, CO 80817-3339
(913) 269-6120
(719) 434-8867
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
225100000X
Physical Therapist
—
—
Other
Enumeration date
09/30/2024
Last updated
09/30/2024
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