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Individual

MR. RALPH LYNWOOD MEGGINSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CACII

Contact information

Practice address
1155 CHEROKEE ST, DENVER, CO 80204-3632
(303) 436-3500
Mailing address
1155 CHEROKEE ST, DENVER, CO 80204-3632
(303) 436-3500

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
7480
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
164525
CO
Enumeration date
01/19/2012
Last updated
01/19/2012
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