Individual
MELISSA B. HAGSTRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
6601 VALENTINE WAY, SANTA FE, NM 87507-7301
(505) 988-1951
Mailing address
6601 VALENTINE WAY, SANTA FE, NM 87507-7301
(505) 988-1951
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
M-07136
NM
Other
Enumeration date
10/28/2009
Last updated
09/16/2010
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