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1215112123
LOURDES M. DIAZ
FORT CARSON, CO
NPI
1215112123
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: CO 4388)
Enumeration Date
2008-01-09
Last Update Date
2009-09-21
Business Address
Prof. LOURDES M. DIAZ LPC, CAC III
1650 COCHRANE CIR
FORT CARSON, CO 80913-4603
Phone number: 719-526-1418
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Mailing Address
Prof. LOURDES M. DIAZ LPC, CAC III
1650 COCHRANE CIR
FORT CARSON, CO 80913-4603
Phone number: 719-526-1418
Copy
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