Individual
ALEX CARRUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
390 UNION BLVD STE 300, LAKEWOOD, CO 80228-6514
(303) 520-6301
Mailing address
390 UNION BLVD STE 300, LAKEWOOD, CO 80228-6514
(303) 520-6301
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/02/2018
Last updated
10/02/2018
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