Thomas Wilson Stuart MA

NPI 1225465636 - Counselor - 101YA0400X

NPI Details
NPI 1225465636
Gender Male
Enumeration Date 09/30/2013
Last Updated 09/30/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
129 W COSTILLA ST
COLORADO SPRINGS CO, 80903-3813, US
Phone (719) 471-2514
Fax (719) 227-2119
Business Location
129 W COSTILLA ST
COLORADO SPRINGS CO, 80903-3813, US
Phone (719) 471-2514
Fax (719) 227-2119
Toxanomy
Taxonomy Code 101YA0400X
License State Colorado
License Number NLC0103696
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According to our database, Mr. Thomas Wilson Stuart MA NPI is 1225465636, taxonomy code is 101YA0400X and license number is NLC0103696, license state is located at Colorado. Thomas Wilson Stuart MA physically located at 129 W Costilla St, Colorado Springs CO, 80903-3813. NPI Number Thomas Wilson Stuart MA has the Individual type.

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1225465636 NPI number is provided on an as is basis without warranty of any kind. 1225465636 is maintained by the National Plan & Provider Enumeration System. The contents of Thomas Wilson Stuart MA are for informational purposes only.