Individual
RAYELLE ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SWT
Contact information
Practice address
1012 W ABRIENDO AVE, PUEBLO, CO 81004-1128
(719) 545-2746
Mailing address
41 MONTEBELLO RD STE 204, PUEBLO, CO 81001-1379
(719) 545-2746
(719) 545-4100
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.1901104-TRNE
OH
Other
Enumeration date
09/16/2019
Last updated
09/11/2020
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