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1174822811
MELYSSA PEARL AGEE-MARES
RIO RANCHO, NM
NPI
1174822811
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NM C-08601)
Enumeration Date
2011-03-21
Last Update Date
2019-02-18
Business Address
MELYSSA PEARL AGEE-MARES LMSW
1005 21ST ST SE STE B
RIO RANCHO, NM 87124-4030
Phone number: 505-990-4186
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Mailing Address
MELYSSA PEARL AGEE-MARES LMSW
3533 RED CANYON RD NE
RIO RANCHO, NM 87144-2577
Phone number: 505-514-6640
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