Individual
MEGAN STASIAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2002 SUDDERTH DR, RUIDOSO, NM 88345-6119
(575) 257-2368
Mailing address
UNIT 7600 BOX 267, DPO, AE 09710-0267
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
402668
NM
Other
Enumeration date
07/29/2025
Last updated
07/29/2025
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