Individual
NOELLE CHRISTINA MESA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
317 W 6TH ST STE 208, MOSCOW, ID 83843-2387
(208) 882-3504
(877) 935-2107
Mailing address
317 W 6TH ST STE 208, MOSCOW, ID 83843-2387
(208) 882-3504
(877) 935-2107
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
36016
ID
Other
Enumeration date
03/08/2018
Last updated
03/08/2018
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