Individual
GRETCHEN LOUISE SELBY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1505 15TH ST, LOS ALAMOS, NM 87544-3000
(505) 662-3264
(505) 662-9707
Mailing address
1505 15TH ST, LOS ALAMOS, NM 87544-3000
(505) 662-3264
(505) 662-9707
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M-057777
NM
Other
Enumeration date
06/18/2006
Last updated
07/08/2007
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