Individual
MS. MICKIE LYNN STIMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LBSW
Contact information
Practice address
501 W FLORIDA ST, DEMING, NM 88030-6302
(505) 546-0427
(505) 546-6587
Mailing address
1112 S COPPER ST, DEMING, NM 88030-5006
(505) 546-8783
(505) 546-4018
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
B05276
NM
Other
Enumeration date
03/10/2007
Last updated
07/08/2007
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