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Individual

NANCY LEE STEPHENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LISW

Contact information

Practice address
315 S HUDSON ST, SUITE #6, SILVER CITY, NM 88061
(575) 388-4412
(575) 534-1170
Mailing address
100 W GRIGGS AVE, LAS CRUCES, NM 88001-1234
(575) 647-2800
(575) 647-2898

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
1904
KY
1041C0700X
Clinical Social Worker
Primary
I-06738
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
18677037
NM
Enumeration date
08/31/2006
Last updated
03/05/2015
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