Individual
JONATHAN WILLIAM GARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSSW
Contact information
Practice address
1790 30TH ST., BOULDER, CO 80301
(303) 494-1634
Mailing address
1206 CRESTMOOR DR, BOULDER, CO 80303-1415
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
991378
CO
Other
Enumeration date
10/20/2020
Last updated
10/20/2020
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