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JOANNA DEWEY LCSW

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

Registrant NPI Number: 1649330168

Individual Registrant:
 JOANNA  DEWEY LCSW
Gender: F
Sole Proprietor

Location and contact information for practice:
926 RUSSELL AVE  WALSENBURG, CO 81089-2134 US
Tel: 719-562-3222  Fax: 719-584-0119

Contact information for business:
1304 CHINOOK LN  PUEBLO, CO 81001-1851 US
Tel: 719-562-3222  Fax: 719-584-0119

Registration Information:
NPI: 1649330168
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
Clinical
CO472

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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