Individual
MEGAN DELANEY-JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30410 HIGHWAY 200, PONDERAY, ID 83852-9601
(208) 263-7101
Mailing address
PO BOX 2160, SANDPOINT, ID 83864-0908
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-33989
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LMSW-33989
ID LICENSE NUMBER
ID
Enumeration date
01/10/2017
Last updated
01/10/2017
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