SearchColorado1041C0700X

Mary Ezequelle, LCSW, PC

NPI 1700116845 · on the registry since 2010

Practice

Address
262 Cedar Dr
Box 4066
Gypsum, CO 81637
Phone
(970) 524-2025
Fax
(970) 524-2025

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
CO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2010-01-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado