Individual
MEKAYLA BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1223 S RAILROAD AVE, SUGAR CITY, ID 83448-5072
(208) 359-0519
(208) 359-2493
Mailing address
PO BOX 4789, POCATELLO, ID 83205-4789
(208) 244-6437
(208) 269-1226
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-38878
ID
Other
Enumeration date
04/24/2020
Last updated
04/24/2020
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