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1548799760
MATT ELLENWOOD
WHEAT RIDGE, CO
NPI
1548799760
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-06-09
Last Update Date
2022-07-21
Business Address
MATT ELLENWOOD
4851 INDEPENDENCE ST STE 200
WHEAT RIDGE, CO 80033-6712
Phone number: 303-425-0300
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Mailing Address
MATT ELLENWOOD
4851 INDEPENDENCE ST STE 200
WHEAT RIDGE, CO 80033-6712
Phone number: 303-425-0300
Copy
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