Individual
MR. WILLIAM B MELLO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
3649 N LAKEHARBOR LN, BOISE, ID 83703-6913
(208) 991-4296
Mailing address
3649 N LAKEHARBOR LN, BOISE, ID 83703-6913
(208) 991-4296
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LMSW-40857
ID
Other
Enumeration date
04/12/2022
Last updated
04/12/2022
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