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1972162402
ALEC MANALAC-KWASNA
BROOMFIELD, CO
NPI
1972162402
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: CO NLC.0110197)
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2019-06-09
Last Update Date
2023-08-28
Business Address
ALEC MANALAC-KWASNA MA
340 E 1ST AVE STE 300
BROOMFIELD, CO 80020-2454
Phone number: 631-742-9443
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Mailing Address
ALEC MANALAC-KWASNA MA
340 E 1ST AVE STE 300
BROOMFIELD, CO 80020-2454
Phone number: 631-742-9443
Copy
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