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Individual

MYLA DAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
2520 S 5TH AVE, POCATELLO, ID 83204-1923
(208) 233-5433
(877) 284-2783
Mailing address
757 S 4TH AVE # B, POCATELLO, ID 83201-6546
(208) 351-8703

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-42588
ID

Other

Enumeration date
09/06/2022
Last updated
09/06/2022
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