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Individual

MRS. CHRISTINE RUTH ANDERSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
17 FARRAGUT AVE, COLORADO SPRINGS, CO 80909-5686
(719) 636-2122
(719) 636-1116
Mailing address
17 FARRAGUT AVE, COLORADO SPRINGS, CO 80909-5686
(719) 636-2122
(719) 636-1116

Taxonomy

Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
CO

Other

Enumeration date
02/11/2009
Last updated
02/11/2009
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