MISTY DAWN MONIZ

POCATELLO, ID
NPI1194440453
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
(Licence: ID  LMSW-41670)
Enumeration Date2022-10-10
Last Update Date2022-10-10
Business Address
MISTY DAWN MONIZ LMSW
110 E WALNUT ST
POCATELLO, ID 83201-4570
Phone number: 208-549-7246
Mailing Address
MISTY DAWN MONIZ LMSW
10857 N NADA LN
POCATELLO, ID 83202-5339
Phone number: 120-860-4442
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