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1437519576
TYRA JEAN RUSSELL FOX
ALBUQUERQUE, NM
NPI
1437519576
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NM CCMH0206181)
Enumeration Date
2016-03-02
Last Update Date
2020-04-29
Business Address
TYRA JEAN RUSSELL FOX LPCC
315 ALAMEDA BLVD NE STE A
ALBUQUERQUE, NM 87113-2155
Phone number: 505-220-5809
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Mailing Address
TYRA JEAN RUSSELL FOX LPCC
PO BOX 15454
RIO RANCHO, NM 87174-0454
Phone number: 505-220-5809
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