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1154605046
MICHAEL JAMES DAVIS
FORT COLLINS, CO
NPI
1154605046
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CO 714)
Enumeration Date
2011-10-10
Last Update Date
2012-10-04
Business Address
Mr. MICHAEL JAMES DAVIS lcsw
383 W DRAKE RD SUITE #201
FORT COLLINS, CO 80526-2884
Phone number: 970-593-2476
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Mailing Address
Mr. MICHAEL JAMES DAVIS lcsw
1226 CRESCENT DR
WINDSOR, CO 80550-5837
Phone number: 970-593-2476
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