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1205228541
PHILIP JONATHAN MAES
SALIDA, CO
NPI
1205228541
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CO LMFT 355)
Enumeration Date
2015-02-24
Last Update Date
2015-02-24
Business Address
PHILIP JONATHAN MAES M.A., LMFT
13 SILVER SPRUCE DR
SALIDA, CO 81201-9483
Phone number: 719-530-1224
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Mailing Address
PHILIP JONATHAN MAES M.A., LMFT
PO BOX 1015
SALIDA, CO 81201-1015
Phone number: 719-530-1224
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