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Organization
NICHOLAS BOEDER - LCSW
Active
Organization
NICHOLAS BOEDER - LCSW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS BOEDER LCSW (OWNER/PSYCHOTHERAPIST)
(575) 770-0436
Entity
Organization
Contact information
Practice address
3921 BINGHAM HILL RD, FORT COLLINS, CO 80521-1025
(575) 770-0436
Mailing address
PO BOX 473, LYONS, CO 80540-0473
(575) 770-0436
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/24/2020
Last updated
08/24/2020
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