| Stimulating Minds Autism Clinic, Llc | |
|
6001 Seagull St., Ne Suite 202 B Albuquerque NM 87110 | |
| (505) 259-2802 | |
| (505) 892-2380 |
| Full Name | Stimulating Minds Autism Clinic, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 6001 Seagull St., Ne, Albuquerque, New Mexico |
| Authorized Official Name and Position | Jeanne Duggins (CEO/OWNER) |
| Authorized Official Contact | 5052592802 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stimulating Minds Autism Clinic, Llc 6001 Seagull St., Ne Suite 202 B Albuquerque NM 87110 Ph: (505) 259-2802 | Stimulating Minds Autism Clinic, Llc 6001 Seagull St., Ne Suite 202 B Albuquerque NM 87110 Ph: (505) 259-2802 |
| NPI Number | 1841555406 |
|---|---|
| Provider Enumeration Date | 07/10/2012 |
| Last Update Date | 07/10/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841555406 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | I-07820 (New Mexico) | Primary |
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