Individual
SHAWN FRICKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1217 1ST ST NW, ALBUQUERQUE, NM 87102-1529
(505) 767-1170
Mailing address
1214 IRON AVE SW, ALBUQUERQUE, NM 87102-3756
(734) 945-8425
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/07/2014
Last updated
05/07/2014
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