Individual
MELODIE JEANNIE REINKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
190 W MAIN ST, KUNA, ID 83634
(208) 922-9001
(208) 922-3778
Mailing address
1914 N SUMMERWIND PL, KUNA, ID 83634-3463
(208) 922-9001
(208) 922-3778
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-1183
ID
Other
Enumeration date
05/24/2007
Last updated
07/08/2007
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