Individual
PAULA STIFLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
650 VANDEN BOSCH PKWY, B, GALLUP, NM 87301-5508
(505) 726-6900
Mailing address
1901 REDROCK DR, PFS DEPT, GALLUP, NM 87301-5683
(505) 726-6900
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-2706
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10010248
LOVELACE HEALTH/SALUD
NM
05
—
825391
—
AZ
01
—
NM01R88Z
BCBS
NM
05
—
P4716
—
NM
Enumeration date
02/06/2006
Last updated
07/09/2007
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