PRUDENCIO COSYLEON

PUEBLO, CO
NPI1083775498
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CO  CSW.00991432)
Enumeration Date2006-12-12
Last Update Date2026-05-07
Business Address
PRUDENCIO COSYLEON LCSW
1301 E 7TH ST
PUEBLO, CO 81001-3508
Phone number: 719-543-8711
Mailing Address
PRUDENCIO COSYLEON LCSW
110 E ROUTT AVE
PUEBLO, CO 81004-2117
Phone number: 719-543-8711