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Individual

GAGE ETHAN PAPIERSKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MSW

Contact information

Practice address
10699 MELODY DR, NORTHGLENN, CO 80234-4134
(303) 252-4179
Mailing address
1421 BLUEMOON DR, LONGMONT, CO 80504-1770
(720) 335-3262

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
104100000X
Social Worker
Primary

Other

Enumeration date
12/22/2021
Last updated
12/22/2021
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