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Individual

MISS MELISSA R FRED

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMFT

Contact information

Practice address
PO BOX 2424, BLOOMFIELD, NM 87413-2424
(505) 215-8939
Mailing address
PO BOX 2424, BLOOMFIELD, NM 87413-2424
(505) 215-8939

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
CMF0211601
NM

Other

Enumeration date
03/25/2019
Last updated
03/31/2026
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