Individual
GABRIEL GREENWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
124 MAIN ST STE 205, DILLON, CO 80435-6088
(970) 279-1314
Mailing address
PO BOX 272, SILVERTHORNE, CO 80498-0272
(970) 279-1314
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LSW.0009922209
CO
Other
Enumeration date
05/04/2016
Last updated
11/22/2022
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