Individual
MR. GARY DWAYNE WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW, BCD
Contact information
Practice address
2965 BROADMOOR VALLEY RD, STE B, COLORADO SPRINGS, CO 80906-4406
(719) 576-6617
Mailing address
2965 BROADMOOR VALLEY RD, STE B, COLORADO SPRINGS, CO 80906-4406
(719) 576-6617
(719) 579-9792
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
876330
CO
Other
Enumeration date
05/02/2007
Last updated
07/19/2018
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