Individual
MARY GUPTON-JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
223 N WAHSATCH AVE, STE 101, COLORADO SPRINGS, CO 80903-3479
(719) 442-1779
(719) 442-0538
Mailing address
223 N WAHSATCH AVE, STE 101, COLORADO SPRINGS, CO 80903-3479
(719) 442-1779
(719) 442-0538
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
NLC0014206
CO
Other
Enumeration date
01/25/2016
Last updated
01/25/2016
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