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Individual

MRS. DIANE CLARE STAPLETON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.P.C.

Contact information

Practice address
2602 DENVER BLVD, PUEBLO, CO 81003-1447
(719) 320-0710
Mailing address
2602 DENVER BLVD, PUEBLO, CO 81003-1447
(719) 320-0710

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
0003394
CO
101YP2500X
Professional Counselor
Primary
0003394
CO

Other

Enumeration date
10/02/2023
Last updated
10/02/2023
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