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1760627269
LUTHER J HENDERSEN
COLORADO SPRINGS, CO
NPI
1760627269
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CO 4741)
Enumeration Date
2008-12-11
Last Update Date
2008-12-11
Business Address
-- LUTHER J HENDERSEN CAC III
5698 S HWY 85 SUITE 104
COLORADO SPRINGS, CO 80911-1465
Phone number: 719-390-4652
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Mailing Address
-- LUTHER J HENDERSEN CAC III
5698 S HWY 85 SUITE 104
COLORADO SPRINGS, CO 80911-1465
Phone number: 719-390-4652
Copy
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