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1891769261
BLAKE BAKER NICHOLSON
GREELEY, CO
NPI
1891769261
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CO 992906)
Enumeration Date
2006-02-14
Last Update Date
2007-07-08
Business Address
Mr. BLAKE BAKER NICHOLSON LCSW
928 12TH ST
GREELEY, CO 80631-4024
Phone number: 970-336-4910
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Mailing Address
Mr. BLAKE BAKER NICHOLSON LCSW
590 FAR VIEW LN
ESTES PARK, CO 80517-9049
Phone number: 970-577-0606
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