Individual
DANIEL MCFADDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
2429 S PRAIRIE AVE, PUEBLO, CO 81005-2886
(719) 564-5070
(719) 896-2874
Mailing address
2429 S PRAIRIE AVE, PUEBLO, CO 81005-2886
(719) 564-5070
(719) 896-2874
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
NLC.0106400
CO
Other
Enumeration date
08/01/2016
Last updated
08/01/2016
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