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1922121003
MARK S GRASSMAN
BOULDER, CO
NPI
1922121003
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CO 983032)
Enumeration Date
2007-04-06
Last Update Date
2007-07-08
Business Address
-- MARK S GRASSMAN MSW
1244 PINE ST
BOULDER, CO 80302-4809
Phone number: 303-447-2727
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Mailing Address
-- MARK S GRASSMAN MSW
1244 PINE ST
BOULDER, CO 80302-4809
Phone number: 303-447-2727
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