Individual
CARISSA JO MYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1275 RIVERSIDE AVE, OROFINO, ID 83544-6025
(208) 476-7483
(208) 476-3144
Mailing address
1275 RIVERSIDE AVE, OROFINO, ID 83544-6025
(208) 476-7483
(208) 476-3144
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
4081800
ID
Other
Enumeration date
03/04/2026
Last updated
03/04/2026
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