Individual
ANDREA LEE FILLINGANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
41 MONTEBELLO RD STE 102, PUEBLO, CO 81001-1366
(719) 545-1575
(719) 546-1451
Mailing address
41 MONTEBELLO RD STE 102, PUEBLO, CO 81001-1366
(719) 545-1575
(719) 546-1451
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SWC.0000000363
COLORADO DEPARTMENT OF REGULATORY AGENCIES
CO
Enumeration date
01/22/2018
Last updated
08/11/2021
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