CONNIE PALM

PUEBLO, CO
NPI1790223634
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CO  7136)
Enumeration Date2017-02-10
Last Update Date2017-02-10
Business Address
-- CONNIE PALM CAC III
1615 BONFORTE BLVD
PUEBLO, CO 81001-1602
Phone number: 719-404-1992
Mailing Address
-- CONNIE PALM CAC III
1615 BONFORTE BLVD
PUEBLO, CO 81001-1602
Phone number: 719-404-1992
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