| Dawn Soriano Pllc | |
|
136 S Academy Ave Eagle ID 83616-6541 | |
| (208) 608-6587 | |
| Not Available |
| Full Name | Dawn Soriano Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 136 S Academy Ave, Eagle, Idaho |
| Authorized Official Name and Position | Dawn Lee Soriano (OWNER) |
| Authorized Official Contact | 2086086587 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dawn Soriano Pllc 136 S Academy Ave Eagle ID 83616-6541 Ph: (208) 608-6587 | Dawn Soriano Pllc 136 S Academy Ave Eagle ID 83616-6541 Ph: (208) 608-6587 |
| NPI Number | 1033925995 |
|---|---|
| Provider Enumeration Date | 12/05/2024 |
| Last Update Date | 12/05/2024 |
| Certification Date | 12/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033925995 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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