-- SHANNA CLAYSON -- LSW
Individual Provider (NPI-1)
Active
Social Worker
Provider Information
- NPI Number
1154731529- Provider Type
- Individual Provider (NPI-1)
- Credentials
- LSW
- Status
- Active
Contact & Location
- Address
- 150 S BROADWAY ST, BLACKFOOT, ID, 832212711
- Phone
- (208) 785-1326
Specialties & Taxonomies
Social Worker
Primary License: ID #LSW-29104