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Individual
MELVIN FRANCIS BETANCOURT
Active
Individual
MELVIN FRANCIS BETANCOURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
09924430
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09924430
COLORADO LICENSE
CO
Enumeration date
08/30/2009
Last updated
06/11/2020
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