Individual
MYRNA DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1001 N 7TH AVE STE 115, POCATELLO, ID 83201-5788
(208) 223-0240
Mailing address
PO BOX 2811, IDAHO FALLS, ID 83403-2811
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
7571545
ID
Other
Enumeration date
04/30/2025
Last updated
04/30/2025
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