Individual
GLORIA P ROBERTSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
224 CRUZ ALTA RD, TAOS, NM 87571-5947
(575) 737-5533
(575) 737-5544
Mailing address
224 CRUZ ALTA RD, STE J, TAOS, NM 87571-5947
(575) 737-5533
(575) 737-5534
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
I-05434
NM
1041C0700X
Clinical Social Worker
Primary
C-05434
NM
Other
Enumeration date
02/03/2009
Last updated
03/04/2020
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