Individual provider · Type 1 NPI

Audrey Lee Bustamante

School Social Worker · Pueblo, CO

NPI number 1205679735 Active

Practice location

201 Lamkin St Apt 101
Pueblo, CO 81003-3558

Mailing address

2805 Pine St
Pueblo, CO 81004-4036

Specialties and licenses

TaxonomyCodeLicense
School Social Worker Primary 1041S0200XNone listed

School Social Worker: Definition to come...

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About NPI 1205679735

Audrey Lee Bustamante's National Provider Identifier is 1205679735, issued on Jun 13, 2024. The primary taxonomy on file is School Social Worker (1041S0200X), and the practice location is in Pueblo, CO. The record was last updated on Jun 13, 2024.