STACIE F WATERS

ESPANOLA, NM
NPI1033481767
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Enumeration Date2012-01-26
Last Update Date2012-01-26
Business Address
-- STACIE F WATERS
1302 CALLE DE LA MERCED
ESPANOLA, NM 87532-2624
Phone number: 505-747-0081
Mailing Address
-- STACIE F WATERS
PO BOX 28220
SANTA FE, NM 87592-8220
Phone number:
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