Individual
MICHELE HARMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1908 JENNIE LEE DR, IDAHO FALLS, ID 83404-6159
(208) 932-7048
Mailing address
3562 E 630 N, MENAN, ID 83434-5069
(208) 390-6852
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-42286
ID
Other
Enumeration date
05/31/2022
Last updated
08/29/2023
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