DIANE JO DETTLOFF

MANCOS, CO
NPI1245947670
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: CO  CSW.09925569)
Enumeration Date2022-11-04
Last Update Date2022-11-04
Business Address
DIANE JO DETTLOFF
35815 ROAD P.5
MANCOS, CO 81328-8798
Phone number: 970-570-9673
Mailing Address
DIANE JO DETTLOFF
35815 ROAD P.5
MANCOS, CO 81328-8798
Phone number: 970-570-9673
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