Individual
SALLY D STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
110 E MESCALERO RD, ROSWELL, NM 88201-6542
(505) 623-1480
(505) 622-3325
Mailing address
PO BOX 1978, ROSWELL, NM 88202-1978
(505) 623-1480
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M-05981
NM
Other
Enumeration date
09/01/2006
Last updated
05/01/2008
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