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1205088069
STEPHANIE E MEDINA
HOBBS, NM
NPI
1205088069
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Former Name
STEPHANIE E CLEMENTS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NM 0089661)
Enumeration Date
2008-10-10
Last Update Date
2008-10-10
Business Address
-- STEPHANIE E MEDINA LMHC
920 W BROADWAY ST
HOBBS, NM 88240-5529
Phone number: 575-393-3168
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Mailing Address
-- STEPHANIE E MEDINA LMHC
920 W BROADWAY ST
HOBBS, NM 88240-5529
Phone number: 575-393-3168
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