Individual
SANDTINA M. MELENDREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
901 W HICKORY ST, DEMING, NM 88030-4046
(575) 564-2174
Mailing address
901 W HICKORY ST, DEMING, NM 88030-4046
(575) 546-2174
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
1041S0200X
School Social Worker
M-1890
NM
Other
Enumeration date
03/20/2007
Last updated
04/21/2018
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