Individual
MIKAELA NOEL DANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
10101 W OVERLAND RD, BOISE, ID 83709-1429
(509) 599-1348
Mailing address
3590 W MINERS FARM DR, BOISE, ID 83714-1995
(509) 599-1348
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LMSW4171873
ID
Other
Enumeration date
09/10/2025
Last updated
10/24/2025
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