Individual
DIAN SHAWVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1023 YELLOWSTONE AVE, STE J, POCATELLO, ID 83201-4478
(208) 478-9551
(208) 478-1507
Mailing address
1023 YELLOWSTONE AVE, STE J, POCATELLO, ID 83201-4478
(208) 478-9551
(208) 478-1507
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LMSW-27362
ID
Other
Enumeration date
03/13/2009
Last updated
03/13/2009
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