Individual
KELLI TRUEBLOOD-GRAVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1056 OSAGE CIR, SANTA FE, NM 87505-3325
(505) 557-5921
Mailing address
1056 OSAGE CIR, SANTA FE, NM 87505-3325
(505) 557-5921
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SWB-2022-1018
NM
Other
Enumeration date
01/16/2023
Last updated
01/16/2023
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