Individual
GABRIELLE LUGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1233 LAKE PLAZA DR STE D, COLORADO SPRINGS, CO 80906-3567
(719) 375-2955
Mailing address
4705 PARAMOUNT PL, COLORADO SPRINGS, CO 80918-9026
(719) 310-8525
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/14/2018
Last updated
09/14/2018
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