Organization
DENISE E GENDREAU LCSW
Active
Organization
DENISE E GENDREAU LCSW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI BOWMAN (BILLING/CREDENTIALING)
(970) 231-1294
Entity
Organization
Contact information
Practice address
100 WEST COLORADO AVENUE, SUITE 227, TELLURIDE, CO 81435-8143
(970) 316-1994
Mailing address
5455 COUNTY ROAD 23, RIDGWAY, CO 81432-9545
(970) 316-1994
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW.00002102
CO
Other
Enumeration date
02/22/2018
Last updated
02/22/2018
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