Individual
NONDO MIALANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
270 W GEORGIA AVE, NAMPA, ID 83686-2835
(208) 463-0210
(208) 461-5452
Mailing address
2087 S GULL COVE AVE, MERIDIAN, ID 83642-6589
(208) 371-7342
(208) 461-5452
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LMSW-38743
—
Other
Enumeration date
07/31/2020
Last updated
07/31/2020
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