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Individual

MRS. PEGGY S DIAZ DE LEON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC, MAC, NCC,CACIII

Contact information

Practice address
6541 SPECKER AVE BLDG 1830, FORT CARSON, CO 80913-4263
(719) 524-0904
Mailing address
EVANS ARMY COMMUNITY HOSPITAL, 1650 COCHRANE CIRCLE, FT CARSON, CO 80913
(719) 524-0904

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
ACC0007204
CO

Other

Enumeration date
10/30/2008
Last updated
08/15/2019
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