Individual
ELIZABETH MINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2327 CORONADO ST, IDAHO FALLS, ID 83404-7407
(208) 528-1000
Mailing address
2327 CORONADO ST, IDAHO FALLS, ID 83404-7407
(208) 528-1000
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-41441
ID
Other
Enumeration date
07/15/2019
Last updated
04/01/2026
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