Organization
FIREFLY MENTAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY FAWVER LCSW (OWNER)
(505) 238-3345
Entity
Organization
Contact information
Practice address
5345 WYOMING BLVD NE STE 107, ALBUQUERQUE, NM 87109-3193
(505) 443-7405
Mailing address
9577 OSUNA RD NE STE B, ALBUQUERQUE, NM 87111-2286
(505) 238-3345
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/07/2024
Last updated
06/07/2024
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