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Individual

LISA PREBLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA

Contact information

Practice address
9940 BRIDGEPORT DR, COLORADO SPRINGS, CO 80920-5107
(719) 339-3595
Mailing address
PO BOX 63348, COLORADO SPRINGS, CO 80962-3348
(719) 339-3595

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
NLC.0103651
CO

Other

Enumeration date
08/25/2015
Last updated
08/25/2015
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