Individual
MARY LARUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
390 UNION BLVD STE 300, LAKEWOOD, CO 80228-6514
(720) 466-8526
Mailing address
390 UNION BLVD STE 300, LAKEWOOD, CO 80228-6514
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/24/2019
Last updated
01/24/2019
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