Individual
MARY NIERODE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
25 N SPRUCE ST, COLORADO SPRINGS, CO 80905-1436
(719) 327-5660
(719) 667-4419
Mailing address
25 N SPRUCE ST, COLORADO SPRINGS, CO 80905-1436
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
9630171
CO
Other
Enumeration date
03/28/2012
Last updated
03/28/2012
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