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1497377931
MICHELLE PHUNG
LONGMONT, CO
NPI
1497377931
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CO 09926588)
Enumeration Date
2020-05-06
Last Update Date
2020-05-06
Business Address
MICHELLE PHUNG LCSW
5712 MOUNT SANITAS AVE
LONGMONT, CO 80503-7360
Phone number: 508-345-8359
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Mailing Address
MICHELLE PHUNG LCSW
5712 MOUNT SANITAS AVE
LONGMONT, CO 80503-7360
Phone number: 508-345-8359
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