Individual
GABRIELLE JOSEPHINE WENTWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1333 IRIS AVE, BOULDER, CO 80304-2226
(303) 684-0555
Mailing address
1224 S GAYLORD ST, DENVER, CO 80210-1829
(603) 677-6715
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/08/2012
Last updated
09/30/2014
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