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Individual

MR. TED NORRIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
7290 W 14TH AVE, LAKEWOOD, CO 80214-4725
(303) 232-8047
Mailing address
8358 RUSSET LN, HIGHLANDS RANCH, CO 80126-3203
(720) 231-5347

Taxonomy

Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
CO

Other

Enumeration date
02/05/2007
Last updated
07/08/2007
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