Individual
ELIZABETH WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7340 CANDELABRA DR, COLORADO SPRINGS, CO 80925-9439
(719) 304-9726
Mailing address
7340 CANDELABRA DR, COLORADO SPRINGS, CO 80925-9439
(719) 304-9726
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
CO
Other
Enumeration date
09/21/2023
Last updated
09/21/2023
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