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1174908651
RYAN WILSON
LOVELAND, CO
NPI
1174908651
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CO LSW.0009920748)
Enumeration Date
2015-07-24
Last Update Date
2015-07-24
Business Address
-- RYAN WILSON L.S.W
1905 W 8TH ST #209
LOVELAND, CO 80537-5224
Phone number: 970-775-7061
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Mailing Address
-- RYAN WILSON L.S.W
948 ROSE ST
LONGMONT, CO 80501-4113
Phone number:
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