Individual
EMILY HICKS MELANCON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1316 JACKIE RD SE STE 900, RIO RANCHO, NM 87124-6612
(505) 289-1042
(505) 466-5895
Mailing address
1316 JACKIE RD SE STE 900, RIO RANCHO, NM 87124-6612
(505) 289-1042
(505) 466-5895
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
X-12022
NM
Other
Enumeration date
07/16/2021
Last updated
07/16/2021
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