JENNIFER MACCORQUODALE

FT CARSON, CO
NPI1659601714
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CO  501)
Enumeration Date2010-01-12
Last Update Date2010-01-12
Business Address
-- JENNIFER MACCORQUODALE
1626 OCONNELL BLVD BLDG 813
FT CARSON, CO 80913-4060
Phone number: 719-526-9826
Mailing Address
-- JENNIFER MACCORQUODALE
1626 OCONNELL BLVD BLDG 813
FT CARSON, CO 80913-4060
Phone number:
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