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1063239176
MICHAEL WOOD
BOULDER, CO
NPI
1063239176
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CO LPCC.0022206)
Enumeration Date
2024-09-21
Last Update Date
2024-09-21
Business Address
MICHAEL WOOD
637 17TH ST
BOULDER, CO 80302-7636
Phone number: 847-702-9164
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Mailing Address
MICHAEL WOOD
637 17TH ST
BOULDER, CO 80302-7636
Phone number: 847-702-9164
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