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1245389618
POLING CHAN
FORT COLLINS, CO
NPI
1245389618
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CO 992606)
Enumeration Date
2007-01-08
Last Update Date
2007-07-08
Business Address
-- POLING CHAN LCSW
504 S COLLEGE AVE SUITE D
FORT COLLINS, CO 80524-3002
Phone number: 970-481-7397
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Mailing Address
-- POLING CHAN LCSW
1701 OVERLOOK DR
FORT COLLINS, CO 80526-3335
Phone number: 970-226-6103
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