Poling Chan LCSW

NPI 1245389618 - Social Worker - 1041C0700X

NPI Details
NPI 1245389618
Gender Female
Enumeration Date 01/08/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
504 S COLLEGE AVE
SUITE D
FORT COLLINS CO, 80524-3002, US
Phone (970) 481-7397
Fax (970) 226-6103
Business Location
1701 OVERLOOK DR
FORT COLLINS CO, 80526-3335, US
Phone (970) 226-6103
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State Colorado
License Number 992606
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According to our database, Poling Chan LCSW NPI is 1245389618, taxonomy code is 1041C0700X and license number is 992606, license state is located at Colorado. Poling Chan LCSW physically located at 504 S College Ave, Fort Collins CO, 80524-3002. NPI Number Poling Chan LCSW has the Individual type.

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1245389618 NPI number is provided on an as is basis without warranty of any kind. 1245389618 is maintained by the National Plan & Provider Enumeration System. The contents of Poling Chan LCSW are for informational purposes only.