Jennifer Dawn Bouchard
Psychiatric at Wasatch Dr, Pueblo, CO

License number
Colorado 204384
Issued Date
Jan 24, 1996
Renew Date
Apr 1, 2013
Expiration Date
Mar 31, 2015
Type
Psychiatric Technician (Developmentally Disabled)
Address
Address
21 Wasatch Dr, Pueblo, CO 81005