Provider Information for 1649495565
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Mrs. STEPHANIE F HOTALING LMFT
Sex: Female
NPI: 1649495565
Last Updated: 2012-01-06
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1649495565 | ||||||||
| Enumeration Date | 2007-04-16 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 2550 STOVER ST UNIT F SUITE 103 FORT COLLINS, CO 80525-4643 United States Phone: 970-556-0109 | Fax:970-224-4893 | ||||||||
| Primary Practice Address | 2550 STOVER ST UNIT F SUITE 103 FORT COLLINS, CO 80525-4643 United States Phone: 970-556-0109 | Fax:970-224-4893 | ||||||||
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