Individual
DR. JENNIFER MAREE STANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
120 ALISO DR SE, ALBUQUERQUE, NM 87108-2693
(505) 629-5374
Mailing address
PO BOX 9222, ALBUQUERQUE, NM 87119-9222
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
1073816773
CA
1041C0700X
Clinical Social Worker
Primary
C-09369
NM
Other
Enumeration date
12/18/2010
Last updated
03/26/2023
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