Charles Thomas Lettau

NPI #1184301293 in Evergreen, Colorado

Provider Information

NPI Number: 1184301293
Entity Type: Individual
Name: Charles Thomas Lettau
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jun 29, 2023
Last Updated: Jun 29, 2023

Practice Location

Address: 1035 EL RANCHO RD
City: Evergreen
State: Colorado
ZIP Code: 80439-8238
Phone: (720) 295-3790

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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