Individual
TIMMIE LOUISE GOUCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1302 CHINOOK LN, PUEBLO, CO 81001-1851
(719) 545-2746
(719) 584-0111
Mailing address
41 MONTEBELLO RD STE 202, PUEBLO, CO 81001-1366
(719) 545-2746
(719) 545-4100
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/05/2018
Last updated
02/05/2018
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