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1972142701
MICHAEL LOUIS CARUSO
LAFAYETTE, CO
NPI
1972142701
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-12-26
Last Update Date
2019-12-26
Business Address
Mr. MICHAEL LOUIS CARUSO
1455 DIXON AVE
LAFAYETTE, CO 80026-8879
Phone number: 303-443-8500
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Mailing Address
Mr. MICHAEL LOUIS CARUSO
2021 PINE ST APT A
BOULDER, CO 80302-4757
Phone number: 610-659-1374
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