Organization
GLS CLINICAL SOCIAL WORK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRETCHEN SELBY LISW (LICENSED CLINICAL SOCIAL WORKER)
(505) 695-5511
Entity
Organization
Contact information
Practice address
1505 15TH ST STE D, LOS ALAMOS, NM 87544-3000
(505) 695-5511
Mailing address
2578 36TH ST, LOS ALAMOS, NM 87544-1544
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-06511
NM
Other
Enumeration date
10/27/2015
Last updated
10/27/2015
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