Individual
MR. DARON GLEN HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
1285 NIXON AVE, IDAHO FALLS, ID 83404-5611
(208) 529-4300
Mailing address
1285 NIXON AVE, IDAHO FALLS, ID 83404-5611
(208) 529-4300
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-25799
ID
Other
Enumeration date
02/09/2007
Last updated
07/08/2007
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