Individual
TERESA GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
100 NORTH LINCOLN, DEXTER, NM 88230
(575) 734-5420
(575) 734-6813
Mailing address
PO BOX 159, DEXTER, NM 88230-0159
(575) 734-5420
(575) 734-6813
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
X-08760
NM
Other
Enumeration date
01/27/2015
Last updated
01/27/2015
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