Individual
MRS. KATELYN GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.S
Contact information
Practice address
406 CAMBRIDGE AVE, HAGERMAN, NM 88232-9610
(575) 752-3254
Mailing address
PO BOX B, HAGERMAN, NM 88232-7501
(575) 752-3254
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
343677
NM
Other
Enumeration date
04/25/2016
Last updated
04/25/2016
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