MELLISA ANN CARLSON

COEUR D ALENE, ID
NPI1457880825
Former NameMELLISA ANN WRIGHT
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ID  LCSW-39121)
Additional Taxonomies104100000X Social Worker
(Licence: ID  LMSW-36548)
Enumeration Date2017-06-08
Last Update Date2021-09-01
Business Address
Mrs. MELLISA ANN CARLSON LCSW
6795 N MINERAL DR
COEUR D ALENE, ID 83815-8700
Phone number: 208-769-4222
Mailing Address
Mrs. MELLISA ANN CARLSON LCSW
PO BOX 1387
HAYDEN, ID 83835-1387
Phone number: 208-415-0299