Individual
MISTY RENEE STURTEVANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
, LCSW
Contact information
Practice address
110 E MESCALERO RD, ROSWELL, NM 88201-6542
(575) 755-2275
(575) 622-3325
Mailing address
110 E MESCALERO RD, ROSWELL, NM 88201-6542
(575) 755-2275
(575) 622-3325
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C-12121
NM
Other
Enumeration date
07/24/2019
Last updated
02/15/2022
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