MRS. Dara J. Ezzell-Pebworth, LMSW

NPI #1760111082 in Caldwell, Idaho

Provider Information

NPI Number: 1760111082
Entity Type: Individual
Name: MRS. Dara J. Ezzell-Pebworth, LMSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LMSW
Enumeration Date: Jun 10, 2022
Last Updated: May 14, 2024

Practice Location

Address: 28371 EL PASO RD BLDG A
City: Caldwell
State: Idaho
ZIP Code: 83607-7521
Phone: (208) 972-5514

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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