DARA J. EZZELL-PEBWORTH

CALDWELL, ID
NPI1760111082
Former NameDARA J. EZZELL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: ID  42343)
Enumeration Date2022-06-10
Last Update Date2024-05-14
Business Address
Mrs. DARA J. EZZELL-PEBWORTH LMSW
28371 EL PASO RD BLDG A
CALDWELL, ID 83607-7521
Phone number: 208-972-5514
Mailing Address
Mrs. DARA J. EZZELL-PEBWORTH LMSW
1871 SPANISH FORK WAY APT N204
MERIDIAN, ID 83642-5650
Phone number: 208-389-8338
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