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1043820673
CLARK MAXON
COLORADO SPRINGS, CO
NPI
1043820673
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2020-08-07
Last Update Date
2020-08-07
Business Address
CLARK MAXON
6180 LEHMAN DR
COLORADO SPRINGS, CO 80918-3444
Phone number: 719-492-6186
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Mailing Address
CLARK MAXON
2325 DISTINCTIVE DR
COLORADO SPRINGS, CO 80920-3803
Phone number: 719-492-6186
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