Individual
TRACY HAYNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
215 W BROADWAY ST, SUITE #1, HOBBS, NM 88240-6065
(575) 393-0692
(575) 393-0796
Mailing address
215 W BROADWAY ST, SUITE #1, HOBBS, NM 88240-6065
(575) 393-0692
(575) 393-0796
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M-08361
NM
Other
Enumeration date
10/29/2014
Last updated
10/29/2014
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