Individual
CLARICE GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
12 UNSER BLVD SE STE C, RIO RANCHO, NM 87124-6300
(505) 636-6100
Mailing address
12 UNSER BLVD SE STE C, RIO RANCHO, NM 87124-6300
(505) 636-6100
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
M10572
NM
Other
Enumeration date
06/29/2022
Last updated
06/29/2022
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