Individual
MELISSA ANNE CARLISLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7381 PRAIRIE FALCON RD, LAS VEGAS, NV 89128-0811
(702) 646-5437
Mailing address
29 RIVER LODGE RD, SOUTH HADLEY, MA 01075-1349
(406) 750-3648
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW.09925140
CO
171M00000X
Case Manager/Care Coordinator
—
—
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
12/22/2010
Last updated
02/09/2018
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