Individual
GRADY SCOTT AINSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PEER SUPPORT
Contact information
Practice address
4455 E 12TH AVE, DENVER, CO 80220-2415
(303) 881-9407
(303) 504-7991
Mailing address
4455 E 12TH AVE, DENVER, CO 80220-2415
(303) 881-9407
(303) 504-7991
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
06/11/2019
Last updated
06/11/2019
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