MRS. Mary B Ezequelle, LCSW, PC
NPI #1700116845 in Gypsum, Colorado
Provider Information
- NPI Number
- 1700116845
- Entity Type
- Individual
- Name
- MRS. Mary B Ezequelle, LCSW, PC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW, PC
- Enumeration Date
- Jan 13, 2010
- Last Updated
- Jan 13, 2010
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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