Henrietta M Desalvo
Psychiatric at Custer Ave, Pueblo, CO

License number
Colorado 201757
Issued Date
Nov 29, 1979
Renew Date
Apr 1, 2005
Expiration Date
Mar 31, 2007
Type
Psychiatric Technician (Developmentally Disabled)
Address
Address
1312 Custer Ave, Pueblo, CO 81001