Individual
GINA MK KRAMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MCJ, LCSW
Contact information
Practice address
765 E COLLEGE DR APT 2, DURANGO, CO 81301-5556
(970) 769-0779
(970) 403-3523
Mailing address
765 E COLLEGE DR APT 2, DURANGO, CO 81301-5556
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9924990
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27-0566065
BLUE STAR ENTERPRISES LLC
CO
Enumeration date
08/14/2017
Last updated
08/14/2017
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