Individual
OPAL LUNA DIETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1611 S MURRAY BLVD, COLORADO SPRINGS, CO 80916-4502
(719) 316-3853
Mailing address
1611 S MURRAY BLVD, COLORADO SPRINGS, CO 80916-4502
(719) 316-3853
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
0009925919
CO
Other
Enumeration date
12/27/2024
Last updated
12/27/2024
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