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Individual

DANIELLE CHRISTINA CONNELLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
700 RIVERFRONT DR, SALMON, ID 83467-5190
(208) 522-0140
Mailing address
2267 TETON PLZ, IDAHO FALLS, ID 83404-6486
(208) 522-0140

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
38787
ID

Other

Enumeration date
06/27/2019
Last updated
06/27/2019
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