Individual
LAURIE ANN STEVENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.I.S.W.
Contact information
Practice address
4135 MONTGOMERY BLVD NE, SUITE B, ALBUQUERQUE, NM 87109-6756
(505) 610-0171
(505) 883-9088
Mailing address
4135 MONTGOMERY BLVD NE, SUITE B, ALBUQUERQUE, NM 87109-6756
(505) 610-0171
(505) 883-9088
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-1467
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
95241
—
NM
Enumeration date
07/10/2006
Last updated
07/08/2007
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