STACIA ROUM

EL RITO, NM
NPI1801427695
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NM  C-11362)
Additional Taxonomies104100000X Social Worker
(Licence: NM  M10379)
Enumeration Date2020-01-30
Last Update Date2020-09-23
Business Address
STACIA ROUM
NM 571 BLDG 28
EL RITO, NM 87530
Phone number: 575-581-4728
Mailing Address
STACIA ROUM
PO BOX 237
EL RITO, NM 87530-0237
Phone number: 575-581-4728