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JULYET LACE KUDO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
2243 MAIN AVE, SUITE 20, DURANGO, CO 81301-4699
(970) 259-0759
Mailing address
2243 MAIN AVENUE, #20, DURANGO, CO 81301-0000
(970) 259-0759

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3674
CO

Other

Enumeration date
08/01/2007
Last updated
10/21/2008
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