Clinical Social Work, Pllc

NPI #1962144667 in Pueblo, Colorado

Provider Information

NPI Number: 1962144667
Entity Type: Organization
Organization Name: Clinical Social Work, Pllc
Primary Specialty: Social Worker - Clinical
Enumeration Date: Apr 12, 2022
Last Updated: Apr 12, 2022

Practice Location

Address: 3000 WEDGEWOOD DR # 2215
City: Pueblo
State: Colorado
ZIP Code: 81005-2300
Phone: (719) 900-5279

Authorized Official

Name: TREVOR GATES-CRANDALL, PHD
Title: LCSW
Phone: (719) 900-5279

Specialties & Taxonomy Codes

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

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