Maura Stack Oden LLC
NPI #1194186148 in Glenwood Springs, Colorado
Provider Information
- NPI Number
- 1194186148
- Entity Type
- Organization
- Organization Name
- Maura Stack Oden LLC
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Mar 17, 2016
- Last Updated
- Jul 23, 2021
Practice Location
- Address
- 1309 OAK WAY AVE
- City
- Glenwood Springs
- State
- Colorado
- ZIP Code
- 81601-4049
- Phone
- (720) 670-9046
Authorized Official
- Name
- MAURA WAMSLEY, BCBA
- Title
- OWNER
- Phone
- (720) 670-9046
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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