Misty Dawn Moniz, LMSW

NPI #1194440453 in Pocatello, Idaho

Provider Information

NPI Number: 1194440453
Entity Type: Individual
Name: Misty Dawn Moniz, LMSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Credential: LMSW
Enumeration Date: Oct 10, 2022
Last Updated: Oct 10, 2022

Practice Location

Address: 110 E WALNUT ST
City: Pocatello
State: Idaho
ZIP Code: 83201-4570
Phone: (208) 549-7246

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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