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1538927439
BETHANY A MAXWELL
CANON CITY, CO
NPI
1538927439
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CO LPCC.0021762)
Enumeration Date
2024-03-06
Last Update Date
2024-03-06
Business Address
BETHANY A MAXWELL
812 CHESTNUT ST
CANON CITY, CO 81212-4730
Phone number: 719-369-6026
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Mailing Address
BETHANY A MAXWELL
812 CHESTNUT ST
CANON CITY, CO 81212-4730
Phone number:
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