JIM R KLOCK

FORT COLLINS, CO
NPI1093876484
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CO  989163)
Enumeration Date2006-12-12
Last Update Date2007-07-08
Business Address
-- JIM R KLOCK LCSW
760 WHALERS WAY SUITE C-200
FORT COLLINS, CO 80525-3370
Phone number: 970-495-4853
Mailing Address
-- JIM R KLOCK LCSW
1907 TOPANGA CT
FT COLLINS, CO 80528-6278
Phone number: 970-495-4853
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