Individual
JOANNA DEWEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
926 RUSSELL AVE, WALSENBURG, CO 81089-2134
(719) 562-3222
(719) 584-0119
Mailing address
1304 CHINOOK LN, PUEBLO, CO 81001-1851
(719) 562-3222
(719) 584-0119
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
472
CO
Other
Enumeration date
12/12/2006
Last updated
07/09/2007
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