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Individual

MEGAN HOWARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW, LMSW

Contact information

Practice address
1970 E 17TH ST STE 115, IDAHO FALLS, ID 83404-8046
(208) 881-0518
(208) 881-0513
Mailing address
1970 E 17TH ST STE 203, IDAHO FALLS, ID 83404-8048
(208) 881-0518
(208) 881-0513

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW 34822
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1639292626
BLUE CROSS
ID
05
1639292626
ID
Enumeration date
05/29/2015
Last updated
01/11/2023
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