MICHELLE DAWN WINE

FT CARSON, CO
NPI1902860588
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: CO  3193)
Enumeration Date2006-04-12
Last Update Date2021-02-03
Business Address
Dr. MICHELLE DAWN WINE PsyD
1650 COCHRANE CIR BLDG 7505 ATTN: TIFARRAH WILSON, CREDENTIAL TECHNICIAN
FT CARSON, CO 80913-4613
Phone number: 719-526-7461
Mailing Address
Dr. MICHELLE DAWN WINE PsyD
1650 COCHRANE CIR BLDG 7505 ATTN: TIFARRAH WILSON, CREDENTIAL TECHNICIAN
FT CARSON, CO 80913-4613
Phone number: 719-526-7461
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