Individual
MAYOLA G SALGADO-CISNEROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
3136 CROSS CANYON LN, GRAND JUNCTION, CO 81504-6268
(719) 290-8081
Mailing address
3136 CROSS CANYON LN, GRAND JUNCTION, CO 81504-6268
(719) 290-8081
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LSW.0009922480
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MAYOLAG
—
CO
Enumeration date
12/03/2019
Last updated
12/03/2019
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