Individual
MELISSA MORIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4267 W SAW BLADE LN, COEUR D ALENE, ID 83814-0003
(509) 547-3633
Mailing address
4267 W SAW BLADE LN, COEUR D ALENE, ID 83814-0003
(509) 547-3633
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CG60147140
WA
Other
Enumeration date
12/06/2006
Last updated
03/18/2014
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