Individual
JULIE BETH GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1337 GUSDORF ROAD, SUITE E, TAOS, NM 87571
(575) 758-4297
(575) 751-7237
Mailing address
107 TOALNE RD, UNIT # 3, TAOS, NM 87571-5253
(575) 770-1880
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
M-06154
NM
1041S0200X
School Social Worker
M-06154
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
26523779
—
NM
Enumeration date
12/18/2006
Last updated
08/12/2015
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