Individual
STACEY ROMICK-IMIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
405 HUNTER ST, ESPANOLA, NM 87532-2656
(505) 367-3342
Mailing address
405 HUNTER ST, ESPANOLA, NM 87532-2656
(505) 367-3342
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
09/15/2021
Last updated
09/15/2021
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