Individual
ANDREA ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 EL PUEBLO RANCH WAY, PUEBLO, CO 81006-2103
(719) 544-7496
Mailing address
1 EL PUEBLO RANCH WAY, PUEBLO, CO 81006-2103
(719) 544-7496
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SWP.0001206
CO
Other
Enumeration date
12/02/2014
Last updated
12/02/2014
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