Individual
MRS. MELISSA CHILD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3765 US-20, ISLAND PARK, ID 83429
(208) 549-9970
Mailing address
2184 CHANNING WAY # 248, IDAHO FALLS, ID 83404-8034
(253) 279-7924
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-40310
ID
Other
Enumeration date
01/06/2021
Last updated
12/01/2023
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