Individual
MRS. MELISSA LEE RAYNE-MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
211 S WOODRUFF AVE, IDAHO FALLS, ID 83401-4324
(208) 524-4818
(208) 233-0835
Mailing address
1531 CLAIRE VIEW LN, IDAHO FALLS, ID 83402-2624
(208) 881-1699
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-42198
ID
Other
Enumeration date
06/02/2022
Last updated
06/02/2022
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