SHALYCE ANDERSON
Individual Provider (NPI-1)
Active
Social Worker
Provider Information
- NPI Number
1003509720- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 801 POLE LINE RD W, TWIN FALLS, ID, 833015810
- Phone
- (208) 670-5214
Specialties & Taxonomies
Social Worker
Primary License: ID #LMSW-42603
All Addresses
MAILING
801 POLE LINE RD W
TWIN FALLS, ID, 833015810