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1417574526
GARY SPRAGUE
WOODLAND PARK, CO
NPI
1417574526
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CO 09926214)
Enumeration Date
2020-07-06
Last Update Date
2020-10-06
Business Address
GARY SPRAGUE LCSW
16222 W US HIGHWAY 24 STE 200
WOODLAND PARK, CO 80863-8763
Phone number: 719-686-0878
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Mailing Address
GARY SPRAGUE LCSW
189 ILLINI DR
WOODLAND PARK, CO 80863-8748
Phone number: 719-687-0515
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