Individual
TAYLOR VALOIS ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
550 W SUNNYSIDE RD, IDAHO FALLS, ID 83402-4619
(208) 529-5777
Mailing address
357 PALISADE DR, IDAHO FALLS, ID 83404-1237
(208) 520-6758
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44144
ID
Other
Enumeration date
09/29/2023
Last updated
09/29/2023
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