Individual
CHANDI DELYN MARSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
414 N LINCOLN AVE STE 1, JEROME, ID 83338-2300
(208) 324-5431
Mailing address
224 W WAYNE ST, PAUL, ID 83347-8692
(208) 316-2862
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-39033
ID
Other
Enumeration date
01/29/2024
Last updated
01/29/2024
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