Individual
DONNA RUTH DESCOTEAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
815 A MAIN ST., SAN LUIS, CO 81152-0684
(719) 672-3143
Mailing address
813 MAIN ST., P.O. BOX 684, SAN LUIS, CO 81152-0684
(719) 672-3143
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
422
CO
Other
Enumeration date
12/01/2008
Last updated
12/01/2008
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