Individual
FANNIE LOOKINGGLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
US HWY 160 & NAVAJO ROUTE 25 - RED MESA, TEECNOSPOS, AZ 86514
(928) 656-5137
(928) 656-5132
Mailing address
HCR 6100, BOX 30, TEECNOSPOS, AZ 86514
(928) 656-5137
(928) 656-5132
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M-0824
NM
Other
Enumeration date
02/07/2008
Last updated
02/07/2008
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