Individual
JADE MONIQUE MCGAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1022 FORTINO BLVD UNIT 9486, PUEBLO, CO 81008-2318
(719) 569-5653
(855) 515-0357
Mailing address
1022 FORTINO BLVD UNIT 9486, PUEBLO, CO 81008-2318
(719) 569-5653
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW.09924361
CO
1041C0700X
Clinical Social Worker
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Other
Enumeration date
06/04/2018
Last updated
05/24/2024
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