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1952933608
NICHOLAUS LEO CARMODY
EVERGREEN, CO
NPI
1952933608
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2020-02-11
Last Update Date
2020-02-11
Business Address
NICHOLAUS LEO CARMODY
29451 FALCON RIDGE DR
EVERGREEN, CO 80439-6564
Phone number: 720-587-9499
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Mailing Address
NICHOLAUS LEO CARMODY
29451 FALCON RIDGE DR
EVERGREEN, CO 80439-6564
Phone number: 720-587-9499
Copy
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