MELINDA RUSSELL

NAMPA, ID
NPI1528275179
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: ID  LCSW1269)
Enumeration Date2007-05-16
Last Update Date2007-07-08
Business Address
-- MELINDA RUSSELL LCSW
323 12TH AVE RD
NAMPA, ID 83686-5014
Phone number: 208-463-0212
Mailing Address
-- MELINDA RUSSELL LCSW
323 12TH AVE RD
NAMPA, ID 83686-5014
Phone number: 208-463-0212
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