Individual
CHRISTY DIANE SOFALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
299 S 3RD ST, MCCALL, ID 83638-5020
(208) 315-3308
(208) 639-5738
Mailing address
299 S 3RD ST, MCCALL, ID 83638-5020
(208) 315-3308
(208) 639-5738
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-34122
ID
Other
Enumeration date
04/04/2016
Last updated
04/04/2016
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