Individual
STEPHANIE A. GUTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
1219 GUSDORF RD., SUITE E, TAOS, NM 87571-6499
(575) 779-3391
Mailing address
PO BOX 1077, EL PRADO, NM 87529-1077
(575) 779-3391
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-06602
NM
Other
Enumeration date
07/06/2006
Last updated
11/01/2013
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