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Individual

ADAM BERNARD PIERSON MILANO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LSW

Contact information

Practice address
6541 SPECKER AVE, FORT CARSON, CO 80913-4263
(609) 575-4912
Mailing address
3332 QUAIL LAKE RD APT 309, COLORADO SPRINGS, CO 80906-4660
(609) 575-4912

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LSW.0009923041
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
LSW.0009923041
COLORADO STATE LICENSE
CO
Enumeration date
03/18/2021
Last updated
03/18/2021
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