Individual
MELODY FILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SW
Contact information
Practice address
4501 SEVEN BAR LOOP RD NW, SEVEN BAR ES, ALBUQUERQUE, NM 87114-5600
(505) 899-2797
Mailing address
4501 SEVEN BAR LOOP RD NW, SEVEN BAR ES, ALBUQUERQUE, NM 87114-5600
(505) 899-2797
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
I 2519
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NO # AT THIS TIME
PROVIDER #
NM
Enumeration date
06/19/2007
Last updated
07/08/2007
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