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1245664689
VINCENT ANTHONY MODICA
DENVER, CO
NPI
1245664689
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CO 2113)
Enumeration Date
2013-08-21
Last Update Date
2013-08-21
Business Address
Mr. VINCENT ANTHONY MODICA LCSW
1055 CLERMONT ST
DENVER, CO 80220-3808
Phone number: 720-857-5038
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Mailing Address
Mr. VINCENT ANTHONY MODICA LCSW
1055 CLERMONT ST
DENVER, CO 80220-3808
Phone number: 720-857-5038
Copy
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