JACK SAMUEL VALDEZ

PUEBLO, CO
NPI1639940877
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CO  9923486)
Enumeration Date2024-01-15
Last Update Date2024-01-15
Business Address
JACK SAMUEL VALDEZ
114 BRIDLE TRL
PUEBLO, CO 81005-3031
Phone number: 719-406-1958
Mailing Address
JACK SAMUEL VALDEZ
114 BRIDLE TRL
PUEBLO, CO 81005-3031
Phone number: 719-406-1958
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