Individual
MRS. REBECCA LYNNE MALAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1675 CURLEW DR, AMMON, ID 83406-4718
(208) 360-1038
Mailing address
PO BOX 2106, IDAHO FALLS, ID 83403-2106
(208) 523-5319
(208) 523-5627
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
43556
ID
1041C0700X
Clinical Social Worker
Primary
LCSW-8911283
ID
175M00000X
Lay Midwife
06003
TX
Other
Enumeration date
03/29/2007
Last updated
08/30/2025
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