Individual
MR. DALE A YENNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
21587 S LAKEVIEW DR, WORLEY, ID 83876-7614
(208) 769-7127
Mailing address
21587 S LAKEVIEW DR, WORLEY, ID 83876-7614
(208) 769-7127
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-459
ID
1041C0700X
Clinical Social Worker
LW00004307
WA
Other
Enumeration date
03/01/2007
Last updated
07/08/2007
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