Individual
JESSICA JOANN MARS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 E BOULDER ST, COLORADO SPRINGS, CO 80909-5533
(719) 365-8808
(719) 365-6101
Mailing address
317 HENRY AVE, PUEBLO, CO 81005-1312
(719) 660-6709
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9925144
CO
Other
Enumeration date
08/13/2019
Last updated
08/13/2019
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