Individual
GWEN KOENIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1600 SPECHT POINT RD, SUITE 105, FORT COLLINS, CO 80525-4311
(970) 682-0715
Mailing address
1600 SPECHT POINT RD, SUITE 105, FORT COLLINS, CO 80525-4311
(970) 682-0715
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
00001035
CO
Other
Enumeration date
01/30/2017
Last updated
01/30/2017
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