Individual
ANDRA MICHELLE GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
6105 S PARKER RD APT 1107, CENTENNIAL, CO 80016-1059
(719) 688-6080
Mailing address
6105 S PARKER RD APT 1107, CENTENNIAL, CO 80016-1059
(719) 688-6080
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
0009925451
CO
Other
Enumeration date
06/11/2024
Last updated
06/11/2024
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