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JAMIE MONDRAGON

>> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1265958144

Individual Registrant:
 JAMIE  MONDRAGON 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
215 S ASH ST  YUMA, CO 80759-1903 US
Tel: 970-848-5412  Fax: 970-848-2414

Contact information for business:
211 W MAIN ST  STERLING, CO 80751-3168 US
Tel: 970-522-4549  Fax: 970-522-6898

Registration Information:
NPI: 1265958144
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y104100000XBehavioral Health & Social Service Providers
Social Worker

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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