Rosa Josephine Gamboa, LCSW
Social Worker, Clinical in Edwards, CO. Individual provider (NPI-1).
NPI number1598536286
StatusActive
Last updated in NPPESJan 11, 2024
Details
- NPI
- 1598536286
- Entity type
- Individual (NPI-1)
- Name
- Rosa Josephine Gamboa
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 11, 2024
- Certification date
- Jan 11, 2024
- Last updated
- Jan 11, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | CSW.09930031 | CO | Yes |
Practice location
151 Miller Ranch RdEdwards, CO 81632-6420
Phone 970-569-5397
Mailing address
Po Box 2127Eagle, CO 81631-2127
Phone 970-306-4673
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All 20 Clinical Social Worker providers in Edwards · All 367 providers in Edwards
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