Individual
GEORGIA ALLRED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1257 LAKE PLAZA DR STE 125, COLORADO SPRINGS, CO 80906-7303
(719) 761-1403
Mailing address
1257 LAKE PLAZA DR STE 125, COLORADO SPRINGS, CO 80906-7303
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0014695
CO
Other
Enumeration date
01/09/2018
Last updated
09/12/2018
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