Individual
EMILY SARAH MAGNI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
3475 SUMMIT DR, POCATELLO, ID 83201-8010
(917) 359-9292
Mailing address
3475 SUMMIT DR, POCATELLO, ID 83201-8010
(917) 359-9292
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
125492-01
NY
1041C0700X
Clinical Social Worker
Primary
LMSW-44421
ID
Other
Enumeration date
12/06/2024
Last updated
12/06/2024
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