Individual
MR. SAYYID STANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
49 MDG, 280 DAVID L. GOLDFEIN STREET, BLDG 23, HOLLOMAN AFB, NM 66442
(575) 572-3564
Mailing address
49 MDG, 280 DAVID L. GOLDFIEN STREET, BLDG 23, HOLLOMAN AFB, NM 88330
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
11124
CT
Other
Enumeration date
03/28/2019
Last updated
12/05/2024
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