Individual
JENNIFER RUTH CABLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
BLDG 1150 BARKLEY RD., FT. CARSON, CO 80913
(719) 526-0175
Mailing address
914 N CANAL ST, CARLSBAD, NM 88220-5110
(575) 885-4836
(575) 887-9579
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C-07821
NM
1041C0700X
Clinical Social Worker
M-07071
NM
Other
Enumeration date
06/09/2009
Last updated
10/06/2020
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