Individual
SANDRA ANN GEARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
333 E JEFFERSON ST, GALLUP, NM 87301-5113
(360) 433-7755
Mailing address
333 E JEFFERSON ST, GALLUP, NM 87301-5113
(360) 433-7755
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
C-11491
NM
1041C0700X
Clinical Social Worker
Primary
L6003
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
57187339
—
NM
Enumeration date
10/11/2006
Last updated
08/22/2023
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