Individual
DONNA S. MORALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
479 MADISON ST, TWIN FALLS, ID 83301-4722
(208) 212-7554
Mailing address
479 MADISON ST, TWIN FALLS, ID 83301-4722
(208) 212-7554
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/30/2020
Last updated
12/08/2020
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