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1265940696
JEANNE MARIE WICKHAM
COLORADO SPRINGS, CO
NPI
1265940696
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CO ACB.0007981)
Enumeration Date
2018-01-19
Last Update Date
2018-01-19
Business Address
JEANNE MARIE WICKHAM CAC II
5475 MARK DABLING BLVD STE 102
COLORADO SPRINGS, CO 80918-3847
Phone number: 719-528-3500
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Mailing Address
JEANNE MARIE WICKHAM CAC II
5475 MARK DABLING BLVD STE 102
COLORADO SPRINGS, CO 80918-3847
Phone number:
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