MARTIN MODEL

DURANGO, CO
NPI1780095414
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CO  983015)
Enumeration Date2014-05-15
Last Update Date2014-05-15
Business Address
-- MARTIN MODEL MSW
1200 FLORIDA RD APT 23
DURANGO, CO 81301-4486
Phone number: 970-563-4581
Mailing Address
-- MARTIN MODEL MSW
1200 FLORIDA RD APT 23
DURANGO, CO 81301-4486
Phone number: 970-563-4581
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