Individual
MS. HOLLY J DEVORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
317 E SAN RAFAEL ST, COLORADO SPGS, CO 80903
(719) 633-4845
Mailing address
317 E SAN RAFAEL ST, COLORADO SPGS, CO 80903
(719) 633-4845
(719) 634-2563
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
035
CO
Other
Enumeration date
08/16/2006
Last updated
07/08/2007
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