STEPHANIE PORTER

ALBUQUERQUE, NM
NPI1144778671
Entity TypeOrganization
Authorized ContactSTEPHANIE Z PORTER
Lamft
505-453-6235
Organization Subpart ?No
Primary Taxonomy251S00000X 
(Licence: NM  T-0182791)
Enumeration Date2016-09-13
Last Update Date2016-09-13
Business Address
STEPHANIE PORTER
320 OSUNA RD NE STE H-4
ALBUQUERQUE, NM 87107-5952
Phone number: 505-345-2778
Mailing Address
STEPHANIE PORTER
320 OSUNA RD NE STE H-4
ALBUQUERQUE, NM 87107-5952
Phone number: 505-345-2778
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