Individual
TRACY CROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6121 INDIAN SCHOOL RD NE, SUITE 234, ALBUQUERQUE, NM 87110-4140
(505) 888-1362
(505) 888-1376
Mailing address
10827 HABANERO WAY SE, ALBUQUERQUE, NM 87123-4250
(505) 321-9817
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C-10600
NM
Other
Enumeration date
07/23/2014
Last updated
07/31/2019
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