Individual
MARIAH DEVENISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
210 E VERMIJO AVE SUITE 20, COLORADO SPRINGS, CO 80903
(800) 661-6323
Mailing address
210 E VERMIJO AVE, SUITE 20, COLORADO SPRINGS, CO 80903-2172
(800) 661-6323
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
661
CO
Other
Enumeration date
07/07/2010
Last updated
07/07/2010
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