Individual
BRENDA LEE BIGGERSTAFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
902 LAKEVIEW AVE, PUEBLO, CO 81004-3597
(719) 250-6061
Mailing address
2715 MIRROR AVE, PUEBLO, CO 81004-5226
(719) 250-6061
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
09929200
CO
Other
Enumeration date
12/15/2023
Last updated
12/15/2023
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