Melissa Williamson | |
600 Washington St Las Vegas NM 87701-4235 | |
(505) 718-2472 | |
Not Available |
Full Name | Melissa Williamson |
---|---|
Speciality | Social Worker - Clinical |
Location | 600 Washington St, Las Vegas, New Mexico |
Authorized Official Name and Position | Melissa Williamson (OWNER) |
Authorized Official Contact | 5057182472 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Melissa Williamson 600 Washington St Las Vegas NM 87701-4235 Ph: (505) 718-2472 | Melissa Williamson 600 Washington St Las Vegas NM 87701-4235 Ph: (505) 718-2472 |
NPI Number | 1821630831 |
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Provider Enumeration Date | 10/10/2019 |
Last Update Date | 10/10/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821630831 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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