ALFONSO MANUEL SILVA

PUEBLO, CO
NPI1598973166
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CO  6237)
Enumeration Date2007-05-18
Last Update Date2007-07-08
Business Address
Mr. ALFONSO MANUEL SILVA BA CAC I
509 E 13TH ST
PUEBLO, CO 81001-2940
Phone number: 719-546-6666
Mailing Address
Mr. ALFONSO MANUEL SILVA BA CAC I
2 BONNYMEDE RD 204
PUEBLO, CO 81001-1516
Phone number: 719-334-3096
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