BRODERICK PIERRE CLARK

COLORADO SPRINGS, CO
NPI1659911402
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date2020-01-09
Last Update Date2020-01-09
Business Address
BRODERICK PIERRE CLARK MASTER IN SOCIAL WOR
2565 AIRPORT RD
COLORADO SPRINGS, CO 80910-3119
Phone number: 719-632-3510
Mailing Address
BRODERICK PIERRE CLARK MASTER IN SOCIAL WOR
2565 AIRPORT RD
COLORADO SPRINGS, CO 80910-3119
Phone number: 719-632-3510