Individual
CRYSTAL GERLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1207 PUEBLO BOULEVARD WAY, PUEBLO, CO 81005-2175
(719) 542-0032
(719) 542-1413
Mailing address
1207 PUEBLO BOULEVARD WAY, PUEBLO, CO 81005-2175
(719) 542-0032
(719) 542-1413
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW.09926109
CO
Other
Enumeration date
08/13/2019
Last updated
08/13/2019
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