SCOTT GALE LANE

PUEBLO, CO
NPI1932819083
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CO  ACC.0004528)
Enumeration Date2022-11-30
Last Update Date2022-11-30
Business Address
SCOTT GALE LANE
3500 BALTIMORE AVE
PUEBLO, CO 81008-1543
Phone number: 719-545-1181
Mailing Address
SCOTT GALE LANE
3500 BALTIMORE AVE
PUEBLO, CO 81008-1543
Phone number: 719-545-1181
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