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1659911402
BRODERICK PIERRE CLARK
COLORADO SPRINGS, CO
NPI
1659911402
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-01-09
Last Update Date
2020-01-09
Business Address
BRODERICK PIERRE CLARK master in social wor
2565 AIRPORT RD
COLORADO SPRINGS, CO 80910-3119
Phone number: 719-632-3510
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Mailing Address
BRODERICK PIERRE CLARK master in social wor
2565 AIRPORT RD
COLORADO SPRINGS, CO 80910-3119
Phone number: 719-632-3510
Copy
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