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Organization

DAWN SORIANO PLLC

Active
Parent organization
DAWN SORIANO PLLC
Other names
Dawn Soriano LCSW
Organization subpart
Yes

Provider details

NPI number
Legal business name
DAWN SORIANO PLLC
Authorized official
DAWN LEE SORIANO LCSW (OWNER)
(208) 608-6587
Entity
Organization

Contact information

Practice address
136 S ACADEMY AVE, EAGLE, ID 83616-6541
(208) 608-6587
Mailing address
136 S ACADEMY AVE, EAGLE, ID 83616-6541
(208) 608-6587

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
12/05/2024
Last updated
12/05/2024
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