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MR. JOSHUA AEVUM LCSW

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

Registrant NPI Number: 1972082303

Individual Registrant:
MR. JOSHUA  AEVUM LCSW
Gender: M
Sole Proprietor

Location and contact information for practice:
445 EAST CHEYENNE MT. BLVD STE C PMB #153 COLORADO SPRINGS, CO 80906-4570 US
Tel: 719-425-5026  Fax: --

Contact information for business:
445 EAST CHEYENNE MT. BLVD STE C PMB #153 COLORADO SPRINGS, CO 80906-4570 US
Tel: 171-942-5502  Fax: --

Registration Information:
NPI: 1972082303
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
Clinical
COCSW.09923557

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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