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1508870841
JAMIE KATHLEEN MCMICHAEL
PUEBLO, CO
NPI
1508870841
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CO 2777)
Enumeration Date
2006-07-29
Last Update Date
2007-07-08
Business Address
JAMIE KATHLEEN MCMICHAEL B.A.
924 INDIANA AVE
PUEBLO, CO 81004-3747
Phone number: 719-564-9039
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Mailing Address
JAMIE KATHLEEN MCMICHAEL B.A.
924 INDIANA AVE
PUEBLO, CO 81004-3747
Phone number: 719-564-9039
Copy
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