Individual
MALLORY HEMERLEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6501 4TH ST NW STE E2, LOS RANCHOS, NM 87107-5800
(505) 456-0619
Mailing address
1808 MANN ST APT B, SANTA FE, NM 87505-3430
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
M-11344
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
84724277
—
NM
Enumeration date
10/07/2020
Last updated
10/03/2025
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