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1497386890
SILAS GRANT HENDRICH
LONGMONT, CO
NPI
1497386890
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CO MFTC.0013993)
Enumeration Date
2020-02-04
Last Update Date
2020-02-04
Business Address
SILAS GRANT HENDRICH MFT-C
1611 GENEVA CIR
LONGMONT, CO 80503-1752
Phone number: 719-776-0809
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Mailing Address
SILAS GRANT HENDRICH MFT-C
1611 GENEVA CIR
LONGMONT, CO 80503-1752
Phone number: 719-776-0809
Copy
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