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1336489699
LAWRENCE WECKBAUGH
COLORADO SPRINGS, CO
NPI
1336489699
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CO 3804)
Enumeration Date
2013-02-25
Last Update Date
2013-02-25
Business Address
LAWRENCE WECKBAUGH
6208 LEHMAN DR SUITE 201
COLORADO SPRINGS, CO 80918-8408
Phone number: 719-572-6100
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Mailing Address
LAWRENCE WECKBAUGH
220 RUSKIN DR
COLORADO SPRINGS, CO 80910-2522
Phone number:
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