Individual
DR. MARGE PREFONTAINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
8505 SAN DIEGO CT NE, ALBUQUERQUE, NM 87122-3622
(505) 821-1948
Mailing address
8505 SAN DIEGO CT NE, ALBUQUERQUE, NM 87122-3622
(505) 821-1948
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
00119
NM
Other
Enumeration date
12/11/2006
Last updated
07/08/2007
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