DOMINIQUE DIANE EDGERLY

GREELEY, CO
NPI1205563012
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: CO  LSW.0009925018)
Enumeration Date2022-08-02
Last Update Date2024-01-10
Business Address
DOMINIQUE DIANE EDGERLY LSW
928 12TH ST
GREELEY, CO 80631-4024
Phone number: 970-347-2120
Mailing Address
DOMINIQUE DIANE EDGERLY LSW
1300 N 17TH AVE
GREELEY, CO 80631-9584
Phone number: 970-347-2120
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