STEVEN A CLARK

ALAMOSA, CO
NPI1952435406
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CO  1851)
Enumeration Date2007-03-15
Last Update Date2007-07-08
Business Address
-- STEVEN A CLARK CACIII
8745 COUNTY ROAD 9 S
ALAMOSA, CO 81101-9610
Phone number: 719-589-3671
Mailing Address
-- STEVEN A CLARK CACIII
193 EDGEMONT BLVD
ALAMOSA, CO 81101-2345
Phone number: 719-589-4090
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