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1528109469
MARY KAYE WHITTEMORE
COLORADO SPRINGS, CO
NPI
1528109469
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CO 4879)
Enumeration Date
2007-02-12
Last Update Date
2007-07-08
Business Address
-- MARY KAYE WHITTEMORE CAC III
115 PARKSIDE DR
COLORADO SPRINGS, CO 80910-3130
Phone number: 719-572-6340
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Mailing Address
-- MARY KAYE WHITTEMORE CAC III
220 RUSKIN DR
COLORADO SPRINGS, CO 80910-2522
Phone number: 719-572-6100
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