Dian Shawver LMSW

NPI 1124269527 - Social Worker - 1041C0700X

NPI Details
NPI 1124269527
Gender Female
Enumeration Date 03/13/2009
Last Updated 03/13/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
1023 YELLOWSTONE AVE
STE J
POCATELLO ID, 83201-4478, US
Phone (208) 478-9551
Fax (208) 478-1507
Business Location
1023 YELLOWSTONE AVE
STE J
POCATELLO ID, 83201-4478, US
Phone (208) 478-9551
Fax (208) 478-1507
Toxanomy
Taxonomy Code 1041C0700X
License State Idaho
License Number LMSW-27362
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According to our database, Dian Shawver LMSW NPI is 1124269527, taxonomy code is 1041C0700X and license number is LMSW-27362, license state is located at Idaho. Dian Shawver LMSW physically located at 1023 Yellowstone Ave, Pocatello ID, 83201-4478. NPI Number Dian Shawver LMSW has the Individual type.

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1124269527 NPI number is provided on an as is basis without warranty of any kind. 1124269527 is maintained by the National Plan & Provider Enumeration System. The contents of Dian Shawver LMSW are for informational purposes only.