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1912484965
LEVI THOMAS MIDDLETON
PUEBLO, CO
NPI
1912484965
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: CO 6477)
Enumeration Date
2018-07-23
Last Update Date
2018-07-23
Business Address
Mr. LEVI THOMAS MIDDLETON LPC
327 COLORADO AVE
PUEBLO, CO 81004-2005
Phone number: 719-251-4645
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Mailing Address
Mr. LEVI THOMAS MIDDLETON LPC
327 COLORADO AVE
PUEBLO, CO 81004-2005
Phone number: 719-251-4645
Copy
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