Thomas J Kerley LBSW

NPI 1942494836 - Social Worker - 1041S0200X

NPI Details
NPI 1942494836
Gender Male
Enumeration Date 09/04/2007
Last Updated 09/04/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1000 E AZTEC AVE
GALLUP NM, 87301-5509, US
Phone (505) 721-1872
Fax
Business Location
1000 E AZTEC AVE
GALLUP NM, 87301-5509, US
Phone (505) 721-1872
Fax
Toxanomy
Taxonomy Code 1041S0200X
License State New Mexico
License Number B-1192
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According to our database, Thomas J Kerley LBSW NPI is 1942494836, taxonomy code is 1041S0200X and license number is B-1192, license state is located at New Mexico. Thomas J Kerley LBSW physically located at 1000 E Aztec Ave, Gallup NM, 87301-5509. NPI Number Thomas J Kerley LBSW has the Individual type.

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1942494836 NPI number is provided on an as is basis without warranty of any kind. 1942494836 is maintained by the National Plan & Provider Enumeration System. The contents of Thomas J Kerley LBSW are for informational purposes only.