Most Relevant Information
Provider Data
| NPI Number: | 1003585464 |
| Provider Name: | LISA MELENDY LMSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 41110 |
Most Important Dates
| Enumeration Date: | 09/09/2021 |
| Last Updated: | 08/01/2024 |
Provider Practice Location
82 S BALTIC PL
MERIDIAN
ID
836425935
Practice Location Phone/Fax
| Phone: | 7322728187 |
| Fax: |
Provider Mailing Location
709 W BRIDGER AVE
NAMPA
ID
836511944
Provider Mailing Phone/Fax
| Phone: | 7322728187 |
| Fax: |