Individual
JESSEY STALLINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4201 CARLISLE BLVD NE, ALBUQUERQUE, NM 87107-4808
(505) 717-1332
Mailing address
4201 CARLISLE BLVD NE, ALBUQUERQUE, NM 87107-4808
(505) 801-9154
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SWB-2023-0986
NM
Other
Enumeration date
05/11/2021
Last updated
12/13/2024
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