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Individual

DAVIS FALCON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
529 COFFMAN ST, LONGMONT, CO 80501-5450
(303) 443-8500
Mailing address
156 WILLOW PL S, BROOMFIELD, CO 80020-2924

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
08/18/2018
Last updated
08/18/2018
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