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1639470990
FEDRICK L MARSH
DENVER, CO
NPI
1639470990
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CO ACB- 6130)
Enumeration Date
2010-11-03
Last Update Date
2010-11-03
Business Address
-- FEDRICK L MARSH CAC III
777 BANNOCK ST
DENVER, CO 80204-4507
Phone number: 303-436-4949
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Mailing Address
-- FEDRICK L MARSH CAC III
990 BANNOCK ST MC 7782
DENVER, CO 80204-4028
Phone number: 720-956-2394
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