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1750660346
GUSTAVO GARAY-VIDAL
EL PASO, TX
NPI
1750660346
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NM SWB-2022-0049)
Enumeration Date
2011-08-12
Last Update Date
2024-11-22
Business Address
GUSTAVO GARAY-VIDAL LCSW
5616 W VALLEY CIR
EL PASO, TX 79932-1900
Phone number: 915-373-1294
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Mailing Address
GUSTAVO GARAY-VIDAL LCSW
5616 W VALLEY CIR
EL PASO, TX 79932-1900
Phone number: 915-373-1294
Copy
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