Individual
NATHAN FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LISW
Contact information
Practice address
3212 MONTE VISTA BLVD NE, ALBUQUERQUE, NM 87106-2120
(505) 203-7676
(505) 243-9261
Mailing address
216 9TH ST NW, ALBUQUERQUE, NM 87102-3026
(505) 266-0388
(505) 268-1063
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-05588
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33031738
—
NM
Enumeration date
12/20/2006
Last updated
02/04/2009
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