MELISSA GRYDER

BOISE, ID
NPI1720451230
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
Additional Taxonomies171M00000X Case Manager/Care Coordinator
Enumeration Date2015-11-05
Last Update Date2015-11-05
Business Address
MELISSA GRYDER
1276 W RIVER ST
BOISE, ID 83702-7066
Phone number: 208-338-4699
Mailing Address
MELISSA GRYDER
PO BOX 8516
BOISE, ID 83707-2516
Phone number: 208-703-4750