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Individual

DALE MELODY LIPPINCOTT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC, CAC II

Contact information

Practice address
30 WALTER WAY, BROOMFIELD, CO 80020-1197
(719) 494-7576
Mailing address
30 WALTER WAY, BROOMFIELD, CO 80020-1197
(719) 494-7576

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6205
CO

Other

Enumeration date
05/04/2021
Last updated
05/04/2021
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