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1635 Foxrail Drive #338 Loveland CO 80538-9086 | |
| (970) 822-7866 | |
| (888) 417-1914 |
| Full Name | |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1635 Foxrail Drive, Loveland, Colorado |
| Authorized Official Name and Position | Aubreena Deforest (CEO) |
| Authorized Official Contact | 9708227866 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 337106 Greeley CO 80633-0619 Ph: (970) 822-7866 | 1635 Foxrail Drive #338 Loveland CO 80538-9086 Ph: (970) 822-7866 |
| NPI Number | 1689354771 |
|---|---|
| Provider Enumeration Date | 07/24/2023 |
| Last Update Date | 06/07/2024 |
| Certification Date | 05/31/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689354771 | NPI | - | NPPES |
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