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Individual

JOSEPH JUESCHKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
6541 SPECKER AVE, FORT CARSON, CO 80913-4263
(719) 503-7831
(719) 503-7884
Mailing address
6541 SPECKER AVE, FORT CARSON, CO 80913-4263
(719) 503-7831
(719) 503-7884

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
09923127
CO

Other

Enumeration date
01/07/2013
Last updated
04/03/2017
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