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1073978920
CHARLES JOSEPH CORDOVA
LOVELL, WY
NPI
1073978920
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: WY LPC-1534)
Enumeration Date
2015-12-18
Last Update Date
2015-12-18
Business Address
-- CHARLES JOSEPH CORDOVA LPC
730 MONTANA AVE
LOVELL, WY 82431-1810
Phone number: 307-272-8798
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Mailing Address
-- CHARLES JOSEPH CORDOVA LPC
730 MONTANA AVE
LOVELL, WY 82431-1810
Phone number:
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