Individual
MRS. KYLA RAE STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW PROVISIONAL LCS
Contact information
Practice address
408 N. CANYON, CARLSBAD, NM 88220
(575) 234-3300
(575) 234-3366
Mailing address
408 N. CANYON, CARLSBAD, NM 88220
(575) 234-3300
(575) 234-3366
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
LMSWM-06564
NM
Other
Enumeration date
02/21/2013
Last updated
02/21/2013
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