MISTALA MILLER

ST MARIES, ID
NPI1598213183
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ID  LCSW-38874)
Additional Taxonomies104100000X Social Worker
(Licence: ID  LMSW36012)
Enumeration Date2016-09-13
Last Update Date2024-07-08
Business Address
MISTALA MILLER LMSW
120 S 13TH ST
ST MARIES, ID 83861-1627
Phone number: 208-245-4363
Mailing Address
MISTALA MILLER LMSW
PO BOX 1387
HAYDEN, ID 83835-1387
Phone number: 208-415-0299