Provider Information for 1336263458
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KARI LYNN SNELSON LCSW
Sex: Female
NPI: 1336263458
Last Updated: 2014-11-14
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||
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| NPI | 1336263458 | ||||||||||||
| Enumeration Date | 2007-03-16 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 3225 INDEPENDENCE RD CANON CITY, CO 81212 United States Phone: 719-275-2351 | Fax:719-269-9386 | ||||||||||||
| Primary Practice Address | 3225 INDEPENDENCE RD CANON CITY, CO 81212 United States Phone: 719-275-2351 | Fax:719-269-9386 | ||||||||||||
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