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Individual

MR. DOUGLAS KEITH PRATT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MSW

Contact information

Practice address
321 E ELM ST, LAFAYETTE, CO 80026-2557
(303) 665-5829
Mailing address
321 E ELM ST, LAFAYETTE, CO 80026-2557
(303) 665-5829

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
986064
CO

Other

Enumeration date
09/21/2011
Last updated
09/21/2011
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