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Individual

FAYETTE LYNN BARBOUR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1409 MARTHA ST NE, ALBUQUERQUE, NM 87112-4362
(505) 321-9828
Mailing address
PO BOX 11322, ALBUQUERQUE, NM 87192-0322
(505) 321-9828

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
C05380
NM
1041C0700X
Clinical Social Worker
Primary
I05380
NM

Other

Enumeration date
06/19/2008
Last updated
09/30/2024
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