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1205324142
KANDY KAY HERRICK
PUEBLO, CO
NPI
1205324142
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CO 0007560)
Enumeration Date
2018-04-26
Last Update Date
2018-04-26
Business Address
KANDY KAY HERRICK
720 N MAIN ST STE 240
PUEBLO, CO 81003-3046
Phone number: 719-569-1909
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Mailing Address
KANDY KAY HERRICK
720 N MAIN ST STE 240
PUEBLO, CO 81003-3046
Phone number: 719-569-1909
Copy
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