Diane Pukajlo's National Provider Identifier (NPI) Details
Diane Pukajlo, LCSW
NPI: 1982729927
Enumeration Date: 2007-03-20
Last updated: 2019-03-11
Sole Proprietor: YES
Status: active
Postal Address: 16825 GUADALUPE CT, PEYTON, CO
Phone: 719-482-6608
Primary Practice Address: 3237 W CAREFREE CIR, COLORADO SPRINGS, CO
Practice's phone: 719-271-2496