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1932989522
BROADMOOR PSYCHOLOGICAL SERVICES LLC
COLORADO SPRINGS, CO
NPI
1932989522
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Entity Type
Organization
Authorized Contact
MICHELLE WICKIZER
Owner
719-900-1301
Organization Subpart ?
No
Primary Taxonomy
103TC0700X Psychologist Clinical
Enumeration Date
2023-10-02
Last Update Date
2024-04-24
Business Address
BROADMOOR PSYCHOLOGICAL SERVICES LLC
1229 LAKE PLAZA DR STE A
COLORADO SPRINGS, CO 80906-7401
Phone number: 719-900-1301
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Mailing Address
BROADMOOR PSYCHOLOGICAL SERVICES LLC
PO BOX 38553
COLORADO SPRINGS, CO 80937-8553
Phone number: 719-313-2578
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