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Organization
WILLOW COLLECTIVE
Active
Organization
WILLOW COLLECTIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ELIZABETH SWANSON LCSW (MANAGER/MEMBER)
(970) 581-5155
Entity
Organization
Contact information
Practice address
706 S COLLEGE AVE STE 204, FORT COLLINS, CO 80524-9860
(970) 581-5155
Mailing address
706 S COLLEGE AVE STE 204, FORT COLLINS, CO 80524-9860
(970) 581-5155
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/19/2021
Last updated
10/19/2021
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