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Organization
MIND RENEURAL LLC
Active
Organization
MIND RENEURAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ZACHARY L GUZMAN LCSW (OWNER)
(928) 853-5019
Entity
Organization
Contact information
Practice address
5040 CORPORATE PLAZA DR STE 7G, COLORADO SPRINGS, CO 80919-6100
(928) 853-5019
Mailing address
5040 CORPORATE PLAZA DR STE 7G, COLORADO SPRINGS, CO 80919-6100
(928) 853-5019
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/04/2019
Last updated
09/04/2019
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