Individual
KAYLONNIE SILVER BLUMENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
393 E 2ND N, REXBURG, ID 83440-1605
(208) 359-4840
(208) 359-9010
Mailing address
393 E 2ND N, REXBURG, ID 83440-1605
(208) 359-4840
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-43021
ID
Other
Enumeration date
12/22/2022
Last updated
05/15/2025
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