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1922198001
JACK R WIENS
COLORADO SPRINGS, CO
NPI
1922198001
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: CO 478)
Enumeration Date
2006-10-13
Last Update Date
2007-07-08
Business Address
-- JACK R WIENS LPC
179 PARKSIDE DR
COLORADO SPRINGS, CO 80910-3130
Phone number: 719-572-6300
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Mailing Address
-- JACK R WIENS LPC
39 W BOULDER ST
COLORADO SPRINGS, CO 80903-3370
Phone number: 719-473-4389
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