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Individual

TAYLOR MARIE HEARRELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LSW

Contact information

Practice address
525 E UINTAH ST, COLORADO SPRINGS, CO 80903-2514
(719) 634-8365
Mailing address
525 E UINTAH ST, COLORADO SPRINGS, CO 80903-2514

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LSW.0009922866
CO

Other

Enumeration date
04/13/2020
Last updated
04/13/2020
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