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DAISY KAY JAMES LMSW

Individual Provider (NPI-1) Active

Social Worker

Provider Information

NPI Number
1255102497
Provider Type
Individual Provider (NPI-1)
Credentials
LMSW
Status
Active

Contact & Location

Address
1904 JENNIE LEE DR, IDAHO FALLS, ID, 834046159
Phone
(208) 974-5200
Fax
(208) 936-7004

Specialties & Taxonomies

Social Worker Primary License: ID #44550

All Addresses

MAILING

352 N 150 W

BLACKFOOT, ID, 832215749

(208) 269-0093

LOCATION

1904 JENNIE LEE DR

IDAHO FALLS, ID, 834046159

(208) 974-5200