Individual
LYDIA J. FABBRONI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
301 GRACELAND DR SE, SUITE E, ALBUQUERQUE, NM 87108-2778
(505) 249-0466
Mailing address
3412 MOUNTAINSIDE PKWY NE, ALBUQUERQUE, NM 87111-5192
(505) 249-0466
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
M-05561
NM
Other
Enumeration date
01/24/2007
Last updated
07/08/2007
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