Individual
DENA ANN BALDWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
515 N 16TH ST, PAYETTE, ID 83661-2774
(208) 642-6416
Mailing address
16585 MORENO PL, CALDWELL, ID 83607-5019
(208) 571-4163
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/25/2016
Last updated
08/25/2016
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