| Sg Flourishes, Inc. | |
|
1219 Gusdorf Rd. Suite E Taos NM 87571-6499 | |
| (575) 779-3391 | |
| Not Available |
| Full Name | Sg Flourishes, Inc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1219 Gusdorf Rd., Taos, New Mexico |
| Authorized Official Name and Position | Stephanie A. Gutz (PRESIDENT) |
| Authorized Official Contact | 5757793391 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sg Flourishes, Inc. Po Box 1077 El Prado NM 87529-1077 Ph: (575) 779-3391 | Sg Flourishes, Inc. 1219 Gusdorf Rd. Suite E Taos NM 87571-6499 Ph: (575) 779-3391 |
| NPI Number | 1932436052 |
|---|---|
| Provider Enumeration Date | 11/10/2009 |
| Last Update Date | 11/01/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932436052 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | I-06602 (New Mexico) | Primary |
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