Individual
JANIE DAWN MARLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
4737 S. AFTON PL, CHUBBUCK, ID 83202
(208) 417-0623
Mailing address
1565 E LINCOLN RD, IDAHO FALLS, ID 83401-2129
(208) 524-8974
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW 34900
ID
Other
Enumeration date
06/23/2015
Last updated
12/05/2022
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