Individual
MRS. THERESA GRACE SANCHEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1207 8TH ST, ALAMOGORDO, NM 88310-5834
(575) 437-9340
(575) 434-6629
Mailing address
3201 TYLER AVE, EL PASO, TX 79930-4917
(915) 497-2335
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
X-08682
NM
1041C0700X
Clinical Social Worker
Primary
62403
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
62403
LCSW
TX
Enumeration date
10/22/2014
Last updated
03/23/2022
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