Individual
ANALISA MACIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
529 COFFMAN ST, LONGMONT, CO 80501-5450
(303) 245-4443
Mailing address
227 GAY ST, LONGMONT, CO 80501-5336
(720) 220-2092
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/01/2007
Last updated
08/01/2007
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