Individual
LACEY MASHINTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8671 SOUTH QUEBEC ST, STE 200, HIGHLANDS RANCH, CO 80130
(888) 852-6672
(305) 891-4228
Mailing address
P.O. BOX 400, COTOPAXI, CO 81223
(719) 285-5121
(719) 218-9994
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
969
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
99124335
—
CO
Enumeration date
01/17/2008
Last updated
10/15/2008
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