Individual
MELISSA CARLSON MPONZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1201 63RD ST, DES MOINES, IA 50311-1943
(515) 254-1556
(515) 254-1559
Mailing address
1201 63RD ST, DES MOINES, IA 50311-1943
(515) 254-1556
(515) 254-1559
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
007263
IA
Other
Enumeration date
01/06/2010
Last updated
01/06/2010
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