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1346511003
JONATHAN DAVID DEN HARTOG
LAKEWOOD, CO
NPI
1346511003
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CO 13600)
Enumeration Date
2012-01-25
Last Update Date
2012-01-25
Business Address
-- JONATHAN DAVID DEN HARTOG M.A.
7475 W 5TH AVE
LAKEWOOD, CO 80226-1649
Phone number: 303-999-1078
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Mailing Address
-- JONATHAN DAVID DEN HARTOG M.A.
7478 W 10TH AVE
LAKEWOOD, CO 80214-4292
Phone number: 303-999-1078
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