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1790450856
JERRICA CHACON
PUEBLO, CO
NPI
1790450856
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: CO CSW.09930703)
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2021-08-11
Last Update Date
2024-07-24
Business Address
JERRICA CHACON
1591 TAOS RD
PUEBLO, CO 81006-1232
Phone number: 719-545-2746
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Mailing Address
JERRICA CHACON
41 MONTEBELLO RD STE 204
PUEBLO, CO 81001-1379
Phone number: 719-545-2746
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