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VANESSA DIXON LMSW

Individual Provider (NPI-1) Active

Social Worker

Provider Information

NPI Number
1245060284
Provider Type
Individual Provider (NPI-1)
Credentials
LMSW
Status
Active

Contact & Location

Address
34 LOUELLA ST, BLACKFOOT, ID, 832211609
Phone
(208) 782-1322
Fax
(208) 782-1322

Specialties & Taxonomies

Social Worker Primary License: ID #1761669

All Addresses

LOCATION

34 LOUELLA ST

BLACKFOOT, ID, 832211609

(208) 782-1322

MAILING

34 LOUELLA ST

BLACKFOOT, ID, 832211609

(208) 782-1322