Individual
GLADYS PATRICIA TELLEZ-VILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
439 EDWARDS ACCESS RD # B204, EDWARDS, CO 81632-5634
(970) 422-3029
Mailing address
439 EDWARDS ACCESS RD # B204, EDWARDS, CO 81632-5634
(970) 422-3029
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LSW.0009924086
CO
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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