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1134807902
MAC DVORAK
BRIGHTON, CO
NPI
1134807902
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2023-07-10
Last Update Date
2023-07-10
Business Address
MAC DVORAK
3966 COSTILLO CT
BRIGHTON, CO 80601-6562
Phone number: 856-562-8092
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Mailing Address
MAC DVORAK
3966 COSTILLO CT
BRIGHTON, CO 80601-6562
Phone number:
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