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1518463959
MARK GOODMAN
COLORADO SPRINGS, CO
NPI
1518463959
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CO ACB.0007979)
Enumeration Date
2018-04-04
Last Update Date
2018-04-04
Business Address
MARK GOODMAN
212 E MONUMENT ST
COLORADO SPRINGS, CO 80903-1004
Phone number: 719-447-0370
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Mailing Address
MARK GOODMAN
212 E MONUMENT ST
COLORADO SPRINGS, CO 80903-1004
Phone number:
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