Individual
CYNTHIA M NIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
826 EASTLAND DR, TWIN FALLS, ID 83301-6858
(208) 734-1281
Mailing address
794 EASTLAND DR, TWIN FALLS, ID 83301-6856
(208) 737-6718
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
30055
ID
1041C0700X
Clinical Social Worker
Primary
LCSW-36251
ID
Other
Enumeration date
11/19/2011
Last updated
03/24/2024
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