Individual
MYEISHA LAQUAIL GRATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5360 N ACADEMY BLVD STE 290, COLORADO SPRINGS, CO 80918-4038
(719) 434-2061
Mailing address
5360 N ACADEMY BLVD, COLORADO SPRINGS, CO 80918
(719) 434-2061
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
0000002149
CO
Other
Enumeration date
02/05/2025
Last updated
02/05/2025
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