Organization
3 MOON THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY DUNCAN LCSW (THERAPIST)
(505) 234-6005
Entity
Organization
Contact information
Practice address
10913 APACHE AVE NE, ALBUQUERQUE, NM 87112-3203
(505) 234-6005
Mailing address
PO BOX 53104, ALBUQUERQUE, NM 87153-3104
(505) 234-6005
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/21/2022
Last updated
07/18/2022
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