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1962668699
COLLEEN BEAVERS
PUEBLO, CO
NPI
1962668699
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2008-08-01
Last Update Date
2008-08-01
Business Address
-- COLLEEN BEAVERS
1026 W ABRIENDO AVE
PUEBLO, CO 81004-1128
Phone number: 719-562-3222
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Mailing Address
-- COLLEEN BEAVERS
1302 CHINOOK LN
PUEBLO, CO 81001-1851
Phone number: 719-562-3222
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