CHANEL GRAY MATEO

USAF ACADEMY, CO
NPI1114432234
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: DE  Q1-0001795)
Enumeration Date2017-12-12
Last Update Date2024-11-19
Business Address
CHANEL GRAY MATEO LCSW
4102 PINION DR
USAF ACADEMY, CO 80840-2502
Phone number: 719-333-5270
Mailing Address
CHANEL GRAY MATEO LCSW
11050 MOUNT BELVEDERE BLVD
FORT DRUM, NY 13602-5438
Phone number: 315-772-3138