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DANIEL PARK, LCSW
LCSW
Clinical Social Worker
NPI: 1639502982IndividualAccepts Medicare
Specialties, Licenses & Credentials
Clinical Social WorkerPrimary
Social Worker — Clinical
Code: 1041C0700X
LCSW-37176(ID)
Social Worker
Social Worker
Code: 104100000X
LMSW-33074(ID)
CMS Specialties
PrimaryCLINICAL SOCIAL WORKER
Education
OTHER
Class of 2013
Contact & Hours
- Address
- 1001 N 7TH AVE
POCATELLO, ID 83201 - Phone
- (208) 425-2489
Quick Facts
- NPI
- 1639502982
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 1
- Years in Practice
- 13
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