Individual
MELISSA MARIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSWA, QMHP-R
Contact information
Practice address
833 ANDERSON AVE STE 6, COOS BAY, OR 97420-4641
(541) 286-6238
Mailing address
1037 NOBLE AVE, COOS BAY, OR 97420-3130
(541) 294-6593
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
A12708
OR
Other
Enumeration date
08/30/2021
Last updated
08/30/2021
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