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1548744071
STACEY MCMULLEN
SANTA FE, NM
NPI
1548744071
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: NM X-10748)
Enumeration Date
2018-09-20
Last Update Date
2018-09-20
Business Address
STACEY MCMULLEN MSW
1501 CERRILLOS RD
SANTA FE, NM 87505-3521
Phone number: 505-216-7325
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Mailing Address
STACEY MCMULLEN MSW
PO BOX 23625
SANTA FE, NM 87502-3625
Phone number: 505-660-8559
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SERENITY WELLNESS CENTER OF SANTA FE, LLC