| Gls Clinical Social Work Llc | |
|
1505 15th St Ste D Los Alamos NM 87544-3000 | |
| (505) 695-5511 | |
| Not Available |
| Full Name | Gls Clinical Social Work Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1505 15th St Ste D, Los Alamos, New Mexico |
| Authorized Official Name and Position | Gretchen Selby (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 5056955511 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gls Clinical Social Work Llc 2578 36th St Los Alamos NM 87544-1544 Ph: () - | Gls Clinical Social Work Llc 1505 15th St Ste D Los Alamos NM 87544-3000 Ph: (505) 695-5511 |
| NPI Number | 1750753927 |
|---|---|
| Provider Enumeration Date | 10/27/2015 |
| Last Update Date | 10/27/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750753927 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | I-06511 (New Mexico) | Primary |
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