Individual
CHASSIDY RYALS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1031 W SANETTA ST, NAMPA, ID 83651-5047
(208) 466-7443
Mailing address
1031 W SANETTA ST, NAMPA, ID 83651-5047
(208) 466-7443
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LMSW095250
NY
104100000X
Social Worker
Primary
LMSW35537
ID
104100000X
Social Worker
LSW0903002322
VA
Other
Enumeration date
10/20/2016
Last updated
10/20/2016
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