Individual
MRS. MISTY LYNN BRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSSA
Contact information
Practice address
1501 SAN PEDRO DR SE, ALBUQUERQUE VA MEDICAL CENTER (BHCL), ALBUQUERQUE, NM 87108-5153
(505) 265-1711
(505) 256-2819
Mailing address
1501 SAN PEDRO DR SE, ALBUQUERQUE VA MEDICAL CENTER (BHCL), ALBUQUERQUE, NM 87108-5153
(505) 265-1711
(505) 256-2819
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
X-06333
NM
Other
Enumeration date
08/04/2008
Last updated
08/04/2008
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