Individual
MRS. STEPHANIE A WERITO-THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 W BROADWAY STE D, FARMINGTON, NM 87401-5638
(505) 325-0238
Mailing address
1001 W BROADWAY STE D, FARMINGTON, NM 87401-5638
(505) 325-0238
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/05/2012
Last updated
04/05/2012
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