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Individual

MS. LESLIE ANN MERRIMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S.

Contact information

Practice address
123 AYLESWORTH HL NW DEPT 8010, COLORADO STATE UNIVERSITY, FORT COLLINS, CO 80523-8010
(970) 491-6113
Mailing address
416 N SHERWOOD ST, FORT COLLINS, CO 80521-2032
(505) 401-6885

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
06/27/2012
Last updated
06/27/2012
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