NPI 1245620400

Teresa Gray, LMSW

Practitioner Clinical Social Worker Dexter, NM

Practice location

Address: 100 North Lincoln, Dexter, NM 88230
Phone: (575) 734-5420
Fax: (575) 734-6813
Mailing address: PO Box 159, Dexter, NM 88230-0159

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence X-08760 (NM)

Other Social Worker providers in New Mexico →

Registry record

NPI: 1245620400
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Jan 2015
Record last updated: 27 Jan 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.