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1104242841
MARTHA ATCHISON
PUEBLO, CO
NPI
1104242841
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CO ACA 0006920)
Enumeration Date
2014-03-05
Last Update Date
2014-03-05
Business Address
-- MARTHA ATCHISON
3470 BALTIMORE AVE
PUEBLO, CO 81008-1520
Phone number: 719-561-9850
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Mailing Address
-- MARTHA ATCHISON
1221 E 13TH ST
PUEBLO, CO 81001-3128
Phone number: 719-561-9850
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