Individual
LISA JAGGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
400 W 16TH ST, PUEBLO, CO 81003-2745
(719) 584-4000
Mailing address
322 VAN BUREN ST, PUEBLO, CO 81004-1808
(719) 369-0950
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
06/29/2022
Last updated
06/29/2022
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