Lalana Navo Sam, LMSW

NPI #1114754744 in Chubbuck, Idaho

Provider Information

NPI Number: 1114754744
Entity Type: Individual
Name: Lalana Navo Sam, LMSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Credential: LMSW
Enumeration Date: Sep 17, 2024
Last Updated: Sep 17, 2024

Practice Location

Address: 4737 S AFTON PL STE A
City: Chubbuck
State: Idaho
ZIP Code: 83202-2317
Phone: (208) 417-0623

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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