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Organization

LIFELONG ADULT EDUCATION SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GARY MACDONALD PH.D. (PSYCHOLOGIST)
(303) 573-0839
Entity
Organization

Contact information

Practice address
1175 OSAGE ST STE 201, DENVER, CO 80204-3436
(303) 573-0839
Mailing address
1175 OSAGE ST STE 201, DENVER, CO 80204-3436
(303) 573-0839

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
3052
CO
251S00000X
Community/Behavioral Health Agency
Primary
3052
CO

Other

Enumeration date
04/01/2010
Last updated
04/01/2010
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