Individual
MS. MELISSA MARY OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1621 N 3RD ST, SUITE 1100, COEUR D ALENE, ID 83814-3376
(208) 765-4509
Mailing address
2756 MADEIRA LOOP, POST FALLS, ID 83854-6700
(208) 660-5150
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33171
ID
Other
Enumeration date
09/10/2013
Last updated
09/10/2013
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