Individual
MR. CLYDE J. FLETCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1501 SAN PEDRO DR SE, ALBUQUERQUE, NM 87108-5153
(505) 265-1711
Mailing address
1501 SAN PEDRO DR SE, ALBUQUERQUE, NM 87108-5153
(505) 265-1711
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C-09848
NM
Other
Enumeration date
12/12/2014
Last updated
03/14/2017
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