Individual
MR. GARY W GOSSAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW
Contact information
Practice address
1910 PAYTON CIRCLE, COLORADO SPRINGS, CO 80915-1327
(701) 400-2592
(719) 637-1554
Mailing address
1910 PAYTON CIRCLE, COLORADO SPRINGS, CO 80915-1327
(701) 400-2592
(719) 637-1554
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
984016
CO
1041C0700X
Clinical Social Worker
Primary
CSW00984016
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
37220241
—
CO
Enumeration date
01/17/2007
Last updated
08/21/2019
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