Individual
MIREYA FRANCES MAINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2000 S EAGLE RD, MERIDIAN, ID 83642-6707
(916) 871-0272
Mailing address
11356 W HELIOPSIS DR, STAR, ID 83669-6293
(916) 871-0272
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
9371743
ID
Other
Enumeration date
01/13/2025
Last updated
01/13/2025
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