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1104093699
GARY HANNOCH
BOULDER, CO
NPI
1104093699
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Other Name
BAILEY HANNOCH
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CO 991358)
Enumeration Date
2008-05-13
Last Update Date
2008-05-13
Business Address
Mr. GARY HANNOCH LCSW, QCSW
2975 VALMONT RD STE 310
BOULDER, CO 80301-1361
Phone number: 303-546-8620
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Mailing Address
Mr. GARY HANNOCH LCSW, QCSW
PO BOX 18521
BOULDER, CO 80308-1521
Phone number: 303-546-8620
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