STEPHANIE J BENALLY

FARMINGTON, NM
NPI1023374436
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NM  122540481)
Enumeration Date2012-04-10
Last Update Date2012-04-10
Business Address
-- STEPHANIE J BENALLY
1615 OJO COURT
FARMINGTON, NM 87401
Phone number: 505-564-4804
Mailing Address
-- STEPHANIE J BENALLY
PO BOX 5190
FARMINGTON, NM 87499-5190
Phone number: 505-564-4804
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