Individual
MS. GAIL FRANCES MORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
107 PLAZA GARCIA STE C, TAOS, NM 87571-6256
(575) 779-4197
Mailing address
PO BOX 2425, TAOS, NM 87571-2425
(575) 779-4197
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
585
NE
1041C0700X
Clinical Social Worker
864
NE
1041C0700X
Clinical Social Worker
Primary
C-09624
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
62753703
—
NM
Enumeration date
06/30/2014
Last updated
03/06/2018
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