Individual
GRETCHEN LARUE PANGILINAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
3005 47TH ST STE F4, BOULDER, CO 80301-5550
(303) 295-1828
Mailing address
1000 WILLOW PL, LAFAYETTE, CO 80026-1120
(303) 817-9598
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
—
—
Other
Enumeration date
01/23/2021
Last updated
01/23/2021
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