Individual
MS. CHERYL MARIE KOUBECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
377 S REDLANDS RD, GRAND JUNCTION, CO 81503-1768
(970) 778-2558
Mailing address
377 S REDLANDS RD, GRAND JUNCTION, CO 81503-1768
(970) 778-2558
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9922335
CO
Other
Enumeration date
11/21/2006
Last updated
07/08/2007
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