Individual
SHEILA SAM A MOSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CACIII
Contact information
Practice address
3874 W. PRINCETON CIRCLE, DENVER, CO 80236
(720) 283-3697
Mailing address
266 QUARI STREET, AURORA, CO 80011
(303) 360-7163
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
1094-21
CO
324500000X
Substance Abuse Rehabilitation Facility
1488-01
CO
Other
Enumeration date
12/02/2014
Last updated
12/02/2014
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