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Individual

STACY MILLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
801 VASSAR DR NE BLDG 23, ALBUQUERQUE, NM 87106-2725
(505) 248-4087
(505) 256-6844
Mailing address
801 VASSAR DR NE BLDG 23, ALBUQUERQUE, NM 87106-2725
(505) 248-4087
(505) 256-6844

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
4304
NC
103TC0700X
Clinical Psychologist
Primary
4304
NM

Other

Enumeration date
12/30/2009
Last updated
06/05/2018
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