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1346742533
GERALD GALLEGOS-CASANOVA
PUEBLO, CO
NPI
1346742533
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CO CSW.09929845)
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2018-03-02
Last Update Date
2023-10-25
Business Address
GERALD GALLEGOS-CASANOVA
1591 TAOS RD
PUEBLO, CO 81006-1232
Phone number: 719-545-2746
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Mailing Address
GERALD GALLEGOS-CASANOVA
41 MONTEBELLO RD STE 202
PUEBLO, CO 81001-1366
Phone number: 719-545-2746
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