Organization
LDS FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEANNA H. WHITE LCSW (THERAPIST)
(208) 529-5276
Entity
Organization
Contact information
Practice address
1600 JOHN ADAMS PKWY STE 102, IDAHO FALLS, ID 83401-4300
(208) 529-5276
Mailing address
1600 JOHN ADAMS PKWY STE 102, IDAHO FALLS, ID 83401-4300
(208) 529-5276
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW26452
ID
Other
Enumeration date
01/08/2007
Last updated
08/22/2020
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