Individual
MR. MALLET REID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
704 TALON CT NE, RIO RANCHO, NM 87144-4712
(575) 513-5383
Mailing address
704 TALON CT NE, RIO RANCHO, NM 87144-4712
(575) 513-5383
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
M-09673
NM
Other
Enumeration date
01/30/2017
Last updated
01/30/2017
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