Individual
MR. GARY HANNOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW, QCSW
Contact information
Practice address
2975 VALMONT RD STE 310, BOULDER, CO 80301-1361
(303) 546-8620
Mailing address
PO BOX 18521, BOULDER, CO 80308-1521
(303) 546-8620
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
991358
CO
Other
Enumeration date
05/13/2008
Last updated
05/13/2008
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