PRUDENCIO A COSYLEON

PUEBLO, CO
NPI1730513912
Entity TypeOrganization
Authorized ContactPRUDENCIO A COSYLEON
Provider
719-214-0626
Organization Subpart ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CO  991432)
Enumeration Date2013-08-24
Last Update Date2013-08-24
Business Address
PRUDENCIO A COSYLEON
417 W 13TH ST
PUEBLO, CO 81003-2703
Phone number: 719-214-0626
Mailing Address
PRUDENCIO A COSYLEON
982 COTTON CIR
PUEBLO, CO 81006-9559
Phone number: 719-214-0626