Individual
GERMAINE MELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
9201 MONTGOMERY BLVD NE BLDG 5, ALBUQUERQUE, NM 87111-2468
(505) 217-1717
Mailing address
9201 MONTGOMERY BLVD NE BLDG 5, ALBUQUERQUE, NM 87111-2468
(505) 217-1717
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
X-11584
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
X-11584
LMSW
—
Enumeration date
07/31/2020
Last updated
07/31/2020
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