| Jdl & Makl Llc | |
|
1548 G St Unit 2a Salida CO 81201-2651 | |
| (719) 329-4810 | |
| (866) 805-1874 |
| Full Name | Jdl & Makl Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1548 G St Unit 2a, Salida, Colorado |
| Authorized Official Name and Position | Maryann K. Longwell (SECRETARY) |
| Authorized Official Contact | 7193294810 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jdl & Makl Llc Po Box 627 1133 E. Ouray Ave Poncha Springs CO 81242-0627 Ph: (719) 329-4810 | Jdl & Makl Llc 1548 G St Unit 2a Salida CO 81201-2651 Ph: (719) 329-4810 |
| NPI Number | 1568784726 |
|---|---|
| Provider Enumeration Date | 02/15/2010 |
| Last Update Date | 02/15/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568784726 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 1159 (Colorado) | Primary |
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