Individual
STEPHEN DAYTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
823 HARRISON ST, TWIN FALLS, ID 83301-3925
(208) 736-2177
Mailing address
823 HARRISON ST, TWIN FALLS, ID 83301-3925
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
25887
ID
Other
Enumeration date
03/25/2016
Last updated
03/25/2016
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