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1780095414
MARTIN MODEL
DURANGO, CO
NPI
1780095414
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CO 983015)
Enumeration Date
2014-05-15
Last Update Date
2014-05-15
Business Address
-- MARTIN MODEL MSW
1200 FLORIDA RD APT 23
DURANGO, CO 81301-4486
Phone number: 970-563-4581
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Mailing Address
-- MARTIN MODEL MSW
1200 FLORIDA RD APT 23
DURANGO, CO 81301-4486
Phone number: 970-563-4581
Copy
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