Provider Information for 1639292303
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Ms. HEIDI CLARICE YORK LPC
Sex: Female
NPI: 1639292303
Last Updated: 2008-02-29
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1639292303 | ||||||||
| Enumeration Date | 2007-04-09 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 2426 COURT ST PUEBLO, CO 81003-2428 United States Phone: 719-542-3213 | Fax: | ||||||||
| Primary Practice Address | 27 W CIMARRON ST # 4 COLORADO SPRINGS, CO 80903-3938 United States Phone: 719-248-8276 | Fax: | ||||||||
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