Provider Information for 1629408752
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ROBERTA GARRETT
Other Names:Other Name:ROBERTA GARRETT LSW, CACIIISex: Female
NPI: 1629408752
Last Updated: 2013-11-27
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||
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| NPI | 1629408752 | ||||||||||||
| Enumeration Date | 2013-11-27 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | PO BOX 1208 MONTROSE, CO 81402-1208 United States Phone: 970-327-4449 | Fax:970-327-4676 | ||||||||||||
| Primary Practice Address | 1350 ASPEN ST. SUITE B NORWOOD, CO 81423 United States Phone: 970-327-4449 | Fax:970-327-4676 | ||||||||||||
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