Individual
LUCINDA TACHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
820 1ST ST., LIMON, CO 80828-1120
(719) 775-2367
(719) 775-2365
Mailing address
111 6TH ST, HUGO, CO 80821-2002
(719) 632-5700
(719) 344-7817
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
992478
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
92226779
—
CO
Enumeration date
05/27/2005
Last updated
04/04/2022
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