Individual
GARY SPRAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
16222 W US HIGHWAY 24 STE 200, WOODLAND PARK, CO 80863-8763
(719) 686-0878
(719) 365-7885
Mailing address
189 ILLINI DR, WOODLAND PARK, CO 80863-8748
(719) 687-0515
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
09926214
CO
Other
Enumeration date
07/06/2020
Last updated
10/06/2020
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