Organization
STEPHANIE GUTZ, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. STEPHANIE GUTZ (PRESIDENT)
(575) 779-3391
Entity
Organization
Contact information
Practice address
1219 GUSDORF RD, SUITE E, TAOS, NM 87571-5402
(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
01/22/2014
Last updated
01/22/2014
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