Dallas R Spencer, LMSW

NPI #1083913164 in Malad City, Idaho

Provider Information

NPI Number: 1083913164
Entity Type: Individual
Name: Dallas R Spencer, LMSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LMSW
Enumeration Date: Mar 15, 2011
Last Updated: Mar 15, 2011

Practice Location

Address: 44 N MAIN ST
City: Malad City
State: Idaho
ZIP Code: 83252-1200
Phone: (208) 766-2389

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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