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Stacy L Burleson, CPSW

Peer Specialist in Albuquerque, NM. Individual provider (NPI-1).

NPI number1033729652
StatusActive
Last updated in NPPESDec 26, 2023

Details

NPI
1033729652
Entity type
Individual (NPI-1)
Name
Stacy L Burleson
Credential
CPSW
Sex
Female
Sole proprietor
No
Enumeration date
Aug 7, 2020
Certification date
Dec 26, 2023
Last updated
Dec 26, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
175T00000X Peer SpecialistS3-003NMYes

Practice location

300 Central Ave Sw
Albuquerque, NM 87102-3298

Phone 505-369-1731

Mailing address

300 Central Ave Sw
Albuquerque, NM 87102-3298

Phone 505-361-1739

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