Individual
MELISSA MARQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1550 N CRESTMONT DR, MERIDIAN, ID 83642-2184
(208) 288-4200
(208) 529-4676
Mailing address
95 W CLAIRE ST, MERIDIAN, ID 83646-7514
(208) 522-7512
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
300-24
ID
Other
Enumeration date
02/09/2009
Last updated
11/14/2022
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