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Individual

TRACY FABRE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1264 RODEO RD, SANTA FE, NM 87505
(505) 992-1149
Mailing address
5350 JUSTIN DR NW APT 13, ALBUQUERQUE, NM 87114-4421

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
02/12/2018
Last updated
06/16/2018
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