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1376045450
KEVIN WAYNE WOOD
PUEBLO, CO
NPI
1376045450
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: CO LPC.0016651)
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2018-03-05
Last Update Date
2020-11-17
Business Address
KEVIN WAYNE WOOD
1310 CHINOOK LN
PUEBLO, CO 81001-1851
Phone number: 719-543-7115
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Mailing Address
KEVIN WAYNE WOOD
41 MONTEBELLO RD STE 204
PUEBLO, CO 81001-1379
Phone number: 719-545-2746
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