Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker | 6801093948 | MI |
NPI | 1003165978 |
---|---|
Provider Name | Ms. Katherine Frances Gatchell |
First Address | Fort Collins, CO 80524-3332 |
Second Address | Fort Collins, CO 80524-4140 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/09/2012 |
Last Update Date | 06/09/2012 |