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1558575233
MARK R. CLUBB
NORTHGLENN, CO
NPI
1558575233
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: CO 4621)
Enumeration Date
2007-05-10
Last Update Date
2007-12-28
Business Address
Mr. MARK R. CLUBB M.A., LPC
11154 HURON ST SUITE 209
NORTHGLENN, CO 80234-2328
Phone number: 303-920-8771
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Mailing Address
Mr. MARK R. CLUBB M.A., LPC
11154 HURON ST SUITE 209
NORTHGLENN, CO 80234-2328
Phone number: 303-920-8771
Copy
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