Individual
KIM GROGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1255 LEE ST, LAKEWOOD, CO 80215-4542
(720) 275-1074
Mailing address
1255 LEE ST, LAKEWOOD, CO 80215-4542
(720) 275-1074
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/08/2014
Last updated
01/08/2014
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