MALLORY DIANE HEISE

COLORADO SPRINGS, CO
NPI1801358650
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2019-04-02
Last Update Date2019-04-02
Business Address
MALLORY DIANE HEISE LAC
220 RUSKIN DR
COLORADO SPRINGS, CO 80910-2522
Phone number: 719-314-4277
Mailing Address
MALLORY DIANE HEISE LAC
220 RUSKIN DR
COLORADO SPRINGS, CO 80910-2522
Phone number: 719-314-4277
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