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Individual
GLEN ALAN LACHER
Active
Individual
GLEN ALAN LACHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LDC CACTT
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
LPC3114
CO
324500000X
Substance Abuse Rehabilitation Facility
CACIII 6152
CO
Other
Enumeration date
08/08/2007
Last updated
08/08/2007
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