Marylin Eacker, LSW

NPI #1063667319 in Jerome, Idaho

Provider Information

NPI Number: 1063667319
Entity Type: Individual
Name: Marylin Eacker, LSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Credential: LSW
Enumeration Date: Nov 28, 2008
Last Updated: Nov 28, 2008

Practice Location

Address: 801 N LINCOLN AVE
City: Jerome
State: Idaho
ZIP Code: 83338-1853
Phone: (208) 731-5750

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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