Individual
MELISSA MARIE MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
15 PASEO DE SAN ANTONIO, SANTA FE, NM 87507-3746
(505) 231-8578
Mailing address
15 PASEO DE SAN ANTONIO, SANTA FE, NM 87507-3746
(505) 231-8578
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
M-09507
NM
Other
Enumeration date
06/11/2019
Last updated
06/11/2019
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