Individual
ALLYSON ELAINE HACKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1512 1/2 CRESTONE AVE, COLORADO SPRINGS, CO 80905-2142
(719) 439-9608
Mailing address
1512 1/2 CRESTONE AVE, COLORADO SPRINGS, CO 80905-2142
(719) 439-9608
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
439
CO
Other
Enumeration date
09/11/2008
Last updated
09/11/2008
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