Organization
STIMULATING MINDS AUTISM CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JEANNE DUGGINS LISW (CEO/OWNER)
(505) 259-2802
Entity
Organization
Contact information
Practice address
6001 SEAGULL ST., NE, SUITE 202 B, ALBUQUERQUE, NM 87110
(505) 259-2802
(505) 892-2380
Mailing address
6001 SEAGULL ST., NE, SUITE 202 B, ALBUQUERQUE, NM 87110
(505) 259-2802
(505) 892-2380
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-07820
NM
Other
Enumeration date
07/10/2012
Last updated
07/10/2012
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