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Organization

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Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANNE PERRY (OWNER)
(720) 446-6082
Entity
Organization

Contact information

Practice address
12600 W COLFAX AVE, LAKEWOOD, CO 80215-3733
(720) 446-6082
Mailing address
12600 W COLFAX AVE, LAKEWOOD, CO 80215-3733
(720) 446-6082

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary

Other

Enumeration date
07/20/2021
Last updated
11/17/2021
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