Organization
GLS CLINICAL SOCIAL WORK LLC
Active
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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