Individual
CANDACE DAYTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
892 E 860 S, DRIGGS, ID 83422
(208) 317-3283
Mailing address
2420 E 25TH ST, IDAHO FALLS, ID 83404-7549
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW35368
ID
Other
Enumeration date
06/21/2016
Last updated
02/14/2024
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