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1962144667
CLINICAL SOCIAL WORK, PLLC
PUEBLO, CO
NPI
1962144667
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Entity Type
Organization
Authorized Contact
TREVOR GATES-CRANDALL
Lcsw
719-900-5279
Organization Subpart ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2022-04-12
Last Update Date
2022-04-12
Business Address
CLINICAL SOCIAL WORK, PLLC
3000 WEDGEWOOD DR # 2215
PUEBLO, CO 81005-2300
Phone number: 719-900-5279
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Mailing Address
CLINICAL SOCIAL WORK, PLLC
3000 WEDGEWOOD DR # 2215
PUEBLO, CO 81005-2300
Phone number: 719-900-5279
Copy
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