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1801819032
TIMOTHY ALAN LANDIS
GRAND JUNCTION, CO
NPI
1801819032
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CO 989679)
Enumeration Date
2006-07-26
Last Update Date
2016-07-29
Business Address
Mr. TIMOTHY ALAN LANDIS LCSW
518 28 RD SUITE A207
GRAND JUNCTION, CO 81501-6556
Phone number: 970-412-6060
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Mailing Address
Mr. TIMOTHY ALAN LANDIS LCSW
518 28 RD SUITE A207
GRAND JUNCTION, CO 81501-6556
Phone number: 970-412-6060
Copy
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