Individual
MIKAYLA SEAMAN CONNOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
459 LOCUST ST N STE 102, TWIN FALLS, ID 83301-7324
(208) 944-9776
Mailing address
459 LOCUST ST N STE 102, TWIN FALLS, ID 83301-7324
(208) 944-9776
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
ID
Other
Enumeration date
03/01/2021
Last updated
03/01/2021
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