Individual
MOLLY GIERASCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1911 MAIN AVE, STE 258, DURANGO, CO 81301-5083
(575) 534-2856
Mailing address
52 BROWNS LAKE RD, DURANGO, CO 81303-7612
(575) 534-2856
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1916
CO
Other
Enumeration date
10/18/2007
Last updated
04/22/2016
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