Individual
MR. STEPHEN DEAN MELBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.I.S.W.
Contact information
Practice address
1937 LAKEVIEW RD SW, ALBUQUERQUE, NM 87105-6102
(505) 452-0848
(505) 452-0875
Mailing address
1937 LAKEVIEW RD SW, ALBUQUERQUE, NM 87105-6102
(505) 452-0848
(505) 452-0875
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-04957
NM
Other
Enumeration date
03/29/2007
Last updated
07/08/2007
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