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Individual

FRED GAGLIARDI

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MSW

Contact information

Practice address
4112 OUTLOOK BLVD, PUEBLO, CO 81008-1667
(719) 553-1081
(719) 553-1107
Mailing address
51 VERDOSA DR, PUEBLO, CO 81005-2942
(719) 561-1892
(719) 553-1107

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
992290
CO

Other

Enumeration date
02/28/2006
Last updated
07/08/2007
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