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Individual

MISS STACEY NELSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, LSW

Contact information

Practice address
4371 E 72ND AVE, COMMERCE CITY, CO 80022-1471
(303) 853-3636
Mailing address
6240 S MONROE DR, CENTENNIAL, CO 80121-3121
(303) 740-7784

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
9620083
CO

Other

Enumeration date
11/28/2006
Last updated
07/08/2007
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