MR. Alfonso Ismael Gallardo, BSW

NPI #1174735708 in Pueblo, Colorado

Provider Information

NPI Number
1174735708
Entity Type
Individual
Name
MR. Alfonso Ismael Gallardo, BSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker
Credential
BSW
Enumeration Date
May 4, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
1603 E 11TH ST
City
Pueblo
ZIP Code
81001-3209
Phone
(719) 369-5888

Specialties & Taxonomy Codes

Specialty
Social Worker

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