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1720761703
FAITH DEMENT
FORT COLLINS, CO
NPI
1720761703
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CO CSW.09930485)
Enumeration Date
2023-08-08
Last Update Date
2024-06-07
Business Address
FAITH DEMENT
4856 INNOVATION DR
FORT COLLINS, CO 80525-5539
Phone number: 970-494-4200
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Mailing Address
FAITH DEMENT
4856 INNOVATION DR
FORT COLLINS, CO 80525-5539
Phone number: 970-494-4200
Copy
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