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1366465551
LEOLA A PETERSON
COLORADO SPRINGS, CO
NPI
1366465551
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: CO 106)
Enumeration Date
2006-07-26
Last Update Date
2007-07-08
Business Address
LEOLA A PETERSON
95 W BOULDER ST
COLORADO SPRINGS, CO 80903-2805
Phone number: 719-339-8010
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Mailing Address
LEOLA A PETERSON
95 W BOULDER ST
COLORADO SPRINGS, CO 80903-3371
Phone number: 719-339-8010
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