MS. Theresa Mae Nez, LISW

NPI #1902130313 in Gallup, New Mexico

Provider Information

NPI Number: 1902130313
Entity Type: Individual
Name: MS. Theresa Mae Nez, LISW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LISW
Enumeration Date: Oct 1, 2009
Last Updated: Oct 1, 2009

Practice Location

Address: 516 NIZHONI BLVD
City: Gallup
State: New Mexico
ZIP Code: 87301-5748
Phone: (505) 722-1000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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