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1780227017
AHLSA LIGHT WOODWARD
GUNNISON, CO
NPI
1780227017
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2019-10-18
Last Update Date
2019-10-18
Business Address
AHLSA LIGHT WOODWARD
710 N MAIN ST
GUNNISON, CO 81230-2412
Phone number: 970-252-3200
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Mailing Address
AHLSA LIGHT WOODWARD
710 N MAIN ST
GUNNISON, CO 81230-2412
Phone number: 970-252-3200
Copy
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