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Individual

MR. ALASTAIR JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MSW, LCSW

Contact information

Practice address
300 E HORSETOOTH RD STE 200, FORT COLLINS, CO 80525-3154
(970) 402-4472
Mailing address
1115 ROMERO ST, FORT COLLINS, CO 80524-2547
(970) 402-4472

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW.00926111
CO

Other

Enumeration date
07/30/2019
Last updated
07/30/2019
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