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Individual

MR. GARY PAUL STOCKMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MSW, LCSW

Contact information

Practice address
19563 E. MAINSTREET, SUITE 205, PARKER, CO 80138
(303) 669-7268
(303) 805-4204
Mailing address
19563 E. MAINSTREET, SUITE 205, PARKER, CO 80138
(303) 669-7268
(303) 805-4204

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
989886
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
657275
ONE NATION - ANTHEM
CO
Enumeration date
09/20/2006
Last updated
07/08/2007
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