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MARK EDWARD BABCOCK L.C.S.W.

Clinical >> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1508984709

Individual Registrant:
 MARK EDWARD BABCOCK L.C.S.W.
Gender: M
Sole Proprietor

Location and contact information for practice:
1308 VIVIAN ST  LONGMONT, CO 80501-3217 US
Tel: 720-635-0711  Fax: --

Contact information for business:
909 3RD AVE #4 LONGMONT, CO 80501-7013 US
Tel: 720-635-0711  Fax: 303-682-9197

Registration Information:
NPI: 1508984709
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
Clinical
CO989890
N1041C0700XBehavioral Health & Social Service Providers
Social Worker
VA0904001660

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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