Provider Information for 1376917369
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JENNIFER PELO LPC
Sex: Female
NPI: 1376917369
Last Updated: 2017-03-02
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||||||||||
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| NPI | 1376917369 | ||||||||||||||||||||
| Enumeration Date | 2015-11-14 | ||||||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||||||
| Sole Proprietor | YES | ||||||||||||||||||||
| Status | Active | ||||||||||||||||||||
| Mailing Address | 740 N SHERMAN ST #108 DENVER, CO 80203-3520 United States Phone: 303-505-5262 | Fax: | ||||||||||||||||||||
| Primary Practice Address | 740 N SHERMAN ST #108 DENVER, CO 80203-3520 United States Phone: 303-505-5262 | Fax: | ||||||||||||||||||||
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