GERALD GALLEGOS-CASANOVA

PUEBLO, CO
NPI1346742533
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CO  CSW.09929845)
Additional Taxonomies101Y00000X Counselor
Enumeration Date2018-03-02
Last Update Date2023-10-25
Business Address
GERALD GALLEGOS-CASANOVA
1591 TAOS RD
PUEBLO, CO 81006-1232
Phone number: 719-545-2746
Mailing Address
GERALD GALLEGOS-CASANOVA
41 MONTEBELLO RD STE 202
PUEBLO, CO 81001-1366
Phone number: 719-545-2746
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