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Individual

COLIN ALISTAIR MILNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
1025 PENNOCK PL, FORT COLLINS, CO 80524-3257
(970) 495-8800
Mailing address
1025 PENNOCK PL STE 115, FORT COLLINS, CO 80524-3257
(970) 495-8839

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
LSW.0009921852
CO
1041C0700X
Clinical Social Worker
Primary
CSW.09926834
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
LSW.0009921852
COLORADO DEPARTMENT OF REGULATORY AGENCIES
CO
Enumeration date
12/28/2017
Last updated
01/12/2021
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