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1487294955
BRANDY LACHELLE ALVIDREZ
CANON CITY, CO
NPI
1487294955
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2020-01-13
Last Update Date
2020-01-13
Business Address
BRANDY LACHELLE ALVIDREZ INTERN IN MSAC
3239 INDEPENDENCE RD
CANON CITY, CO 81212-9380
Phone number: 719-275-7650
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Mailing Address
BRANDY LACHELLE ALVIDREZ INTERN IN MSAC
3239 INDEPENDENCE RD
CANON CITY, CO 81212-9380
Phone number: 719-275-7650
Copy
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