Ilia LuanBertram Fogel
Psychiatric at Veta Ave, Pueblo, CO

License number
Colorado 12323
Issued Date
Jun 7, 2010
Renew Date
Sep 1, 2011
Expiration Date
Aug 31, 2013
Type
Registered Psychotherapist
Address
Address
214 Veta Ave, Pueblo, CO 81004
LicenseFiles verified this license of Dec 9, 2016 at the Colorado - Department of Regulatory Agencies.

Personal information

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Name
Address
Phone
Ilia Fogel, age 57
214 Veta Ave, Pueblo, CO 81004

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