Individual
MELISSA DUNWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 MENAUL BLVD NE, ALBUQUERQUE, NM 87107
(505) 363-1341
Mailing address
5009 AZTEC RD NE, ALBUQUERQUE, NM 87110-1823
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
03/25/2010
Last updated
12/07/2012
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