LISA JANE GAWENUS

DENVER, CO
NPI1790121085
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CO  6162)
Enumeration Date2013-05-14
Last Update Date2013-05-14
Business Address
-- LISA JANE GAWENUS CAC III
777 BANNOCK ST
DENVER, CO 80204-4507
Phone number: 303-436-3636
Mailing Address
-- LISA JANE GAWENUS CAC III
777 BANNOCK ST
DENVER, CO 80204-4507
Phone number: 303-436-3636
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