WILLA SUSAN PENDERGRAST

GOLDEN, CO
NPI1427361401
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CO  979027)
Enumeration Date2010-07-20
Last Update Date2010-07-20
Business Address
-- WILLA SUSAN PENDERGRAST LCSW
22212 CHIPPEWA LN
GOLDEN, CO 80401-8046
Phone number: 303-946-5003
Mailing Address
-- WILLA SUSAN PENDERGRAST LCSW
535 ITHACA DR
BOULDER, CO 80305-5629
Phone number: 303-494-0928
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