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1497007199
DEBORAH D BOTHWELL
FORT COLLINS, CO
NPI
1497007199
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CO ACC-6179)
Enumeration Date
2012-10-05
Last Update Date
2012-10-05
Business Address
-- DEBORAH D BOTHWELL CAC III
525 W OAK ST
FORT COLLINS, CO 80521-2612
Phone number: 970-494-4300
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Mailing Address
-- DEBORAH D BOTHWELL CAC III
125 CRESTRIDGE ST
FORT COLLINS, CO 80525-3934
Phone number: 970-494-9761
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