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Organization
THERAPY WORKS
Active
Organization
THERAPY WORKS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERI WAGNER LPC (OWNER AND PROVIDER)
(719) 469-0716
Entity
Organization
Contact information
Practice address
315 COLORADO AVE, PUEBLO, CO 81004-2046
(719) 469-0716
(719) 583-0554
Mailing address
315 COLORADO AVE, PUEBLO, CO 81004-2046
(719) 469-0716
(719) 583-0554
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4842
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1205951043
—
CO
Enumeration date
08/17/2015
Last updated
08/17/2015
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