MARY JANE KRUSE

PUEBLO WEST, CO
NPI1972828036
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CO  5214)
Enumeration Date2010-04-01
Last Update Date2010-04-01
Business Address
-- MARY JANE KRUSE MA, CAC III
328 W CASPER DR
PUEBLO WEST, CO 81007-2818
Phone number: 719-569-2199
Mailing Address
-- MARY JANE KRUSE MA, CAC III
328 W CASPER DR
PUEBLO WEST, CO 81007-2818
Phone number:
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