MR. Gary Dwayne West, MSW, LCSW, BCD

NPI #1013138320 in Colorado Springs, Colorado

Provider Information

NPI Number: 1013138320
Entity Type: Individual
Name: MR. Gary Dwayne West, MSW, LCSW, BCD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: MSW, LCSW, BCD
Enumeration Date: May 2, 2007
Last Updated: Jul 19, 2018

Practice Location

Address: 2965 BROADMOOR VALLEY RD
Address 2: STE B
City: Colorado Springs
State: Colorado
ZIP Code: 80906-4406
Phone: (719) 576-6617

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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