Individual
GRACE C MELLOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
INTERN
Contact information
Practice address
4169 MONTGOMERY BLVD NE, ALBUQUERQUE, NM 87109-6742
(505) 261-9770
(505) 212-6747
Mailing address
4169 MONTGOMERY BLVD NE, ALBUQUERQUE, NM 87109-6742
(505) 261-9770
(505) 212-6747
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SWB-2025-1132
NM
1041C0700X
Clinical Social Worker
Primary
SWB-2025-0783
NM
Other
Enumeration date
06/05/2024
Last updated
02/23/2026
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