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Individual

DIANA BONILLA-HUESTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
2205 CORDILLERA WAY, EDWARDS, CO 81632-6290
(970) 237-4360
Mailing address
2205 CORDILLERA WAY, EDWARDS, CO 81632-6290
(970) 919-9363

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1041C0700X
Clinical Social Worker
Primary
CSW.09932926
CO

Other

Enumeration date
06/05/2023
Last updated
03/05/2026
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