CHARMAYNE N SANDOVAL

PUEBLO, CO
NPI1215221320
Former NameCHARMAYNE N HYATT
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CO  CSW.09923811)
Additional Taxonomies101YM0800X Counselor, Mental Health
103TC0700X Psychologist, Clinical
(Licence: CO  CSW.09923811)
Enumeration Date2011-06-06
Last Update Date2021-07-20
Business Address
CHARMAYNE N SANDOVAL LCSW
110 E ROUTT AVE
PUEBLO, CO 81004-2117
Phone number: 719-543-8711
Mailing Address
CHARMAYNE N SANDOVAL LCSW
300 COLORADO AVE
PUEBLO, CO 81004-2006
Phone number: 719-543-8711