Individual
MARY FROMENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2612 TEXAS ST NE, ALBUQUERQUE, NM 87110-4684
(505) 830-1871
Mailing address
2221 RIO GRANDE BLVD NW, ALBUQUERQUE, NM 87104-2529
(505) 830-1871
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
X-12006
NM
Other
Enumeration date
08/11/2021
Last updated
08/11/2021
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