Individual
SANDY GURULE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
115 CEDAR STREET, IGNACIO, CO 88137
(970) 563-9388
Mailing address
3118 COUNTY ROAD 307, DURANGO, CO 81303-6881
(970) 749-1744
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LSW 00000335
CO
Other
Enumeration date
04/11/2017
Last updated
04/11/2017
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