BLAKE BAKER NICHOLSON

GREELEY, CO
NPI1891769261
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CO  992906)
Enumeration Date2006-02-14
Last Update Date2007-07-08
Business Address
Mr. BLAKE BAKER NICHOLSON LCSW
928 12TH ST
GREELEY, CO 80631-4024
Phone number: 970-336-4910
Mailing Address
Mr. BLAKE BAKER NICHOLSON LCSW
590 FAR VIEW LN
ESTES PARK, CO 80517-9049
Phone number: 970-577-0606