Individual
JEANNE MELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
6003 W OVERLAND RD STE 105, BOISE, ID 83709-3075
(208) 345-8861
(209) 345-2077
Mailing address
6003 W OVERLAND RD STE 105, BOISE, ID 83709-3075
(208) 345-8861
(209) 345-2077
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LCSW 208
ID
Other
Enumeration date
08/05/2006
Last updated
07/08/2007
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