Individual
STEPHANIE MOLINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2440 LOUISIANA BLVD NE STE 300, ALBUQUERQUE, NM 87110-4394
(505) 916-2007
Mailing address
2440 LOUISIANA BLVD NE STE 300, ALBUQUERQUE, NM 87110-4394
(505) 916-2007
(505) 433-4490
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M-09742
STATE LICENSE
NM
Enumeration date
11/04/2019
Last updated
11/04/2019
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