Misty I. Grisalva, LMSW

NPI #1457751430 in Turth Or Consequences, New Mexico

Provider Information

NPI Number: 1457751430
Entity Type: Individual
Name: Misty I. Grisalva, LMSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LMSW
Enumeration Date: Aug 27, 2014
Last Updated: Aug 27, 2014

Practice Location

Address: 800 EAST NINTH AVENUE
City: Turth Or Consequences
State: New Mexico
ZIP Code: 87901
Phone: (575) 743-1205

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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