Gary W.gossage, Licensed Clinical Social Work, LLC
NPI #1780238469 in Colorado Spgs, Colorado
Provider Information
- NPI Number
- 1780238469
- Entity Type
- Organization
- Organization Name
- Gary W.gossage, Licensed Clinical Social Work, LLC
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Jul 30, 2019
- Last Updated
- Jul 30, 2019
Practice Location
- Address
- 1910 PAYTON CIR
- City
- Colorado Spgs
- State
- Colorado
- ZIP Code
- 80915-1327
- Phone
- (701) 400-2592
Authorized Official
- Name
- DARLENE G GOSSAGE
- Title
- OFFICE MANAGER
- Phone
- (701) 400-2592
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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