Individual
STEPHANIE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
600 1ST ST NW STE 200, ALBUQUERQUE, NM 87102-2311
(505) 224-9124
(505) 247-9503
Mailing address
600 1ST ST NW STE 200, ALBUQUERQUE, NM 87102-2311
(505) 224-9124
(505) 247-9503
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M-11522
NM
104100000X
Social Worker
X-11149
NM
Other
Enumeration date
07/16/2019
Last updated
04/21/2022
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