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Organization

CLAIRE THOMAS-DUCKWITZ, PH.D. LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CLAIRE THOMAS-DUCKWITZ PH.D. (OWNER/MBR)
(719) 660-8346
Entity
Organization

Contact information

Practice address
2350 17TH AVENUE, UNIT 104, LONGMONT, CO 80503
(719) 660-8346
(866) 757-5778
Mailing address
PO BOX 51, LYONS, CO 80540-0051
(719) 660-8346
(866) 757-5778

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
4035
CO
103TC0700X
Clinical Psychologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
06108768
CO
Enumeration date
03/04/2015
Last updated
01/22/2021
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