Individual
MELINDA BETH SOULES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
745 NW MT WASHINGTON DR, SUITE 301, BEND, OR 97703-1574
(541) 408-5609
Mailing address
2197 NW CLEARWATER DR, BEND, OR 97703-7003
(541) 408-5609
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L5631
OR
Other
Enumeration date
01/24/2013
Last updated
02/03/2017
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