Individual
MELANIE M JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
215 N MAIN ST, CLOVIS, NM 88101-7552
(575) 935-5550
Mailing address
3212 CHERRY DR, CLOVIS, NM 88101-3813
(575) 693-6575
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M-05631
NM
1041S0200X
School Social Worker
M-05631
NM
Other
Enumeration date
12/05/2008
Last updated
12/06/2021
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