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Individual

STARLENE S PELUSO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4851 INDEPENDENCE ST, WHEAT RIDGE, CO 80033-6715
(310) 403-8766
Mailing address
4851 INDEPENDENCE ST, WHEAT RIDGE, CO 80033-6715
(303) 425-0300

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0001623
CO
225400000X
Rehabilitation Practitioner
IMF48666
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0001623
CO
Enumeration date
03/09/2007
Last updated
02/26/2023
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