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Individual

DAVID GLEDITSCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MBA, CAC III

Contact information

Practice address
2017 W EISENHOWER BLVD, LOVELAND, CO 80537-3139
(970) 461-0978
Mailing address
4112 LAKEFRONT DR, LOVELAND, CO 80537-9610
(970) 663-1132

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACC0006999
CO

Other

Enumeration date
04/02/2017
Last updated
04/02/2017
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