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DAN MICHAEL TADLOCK, CSW

CLINICAL SOCIAL WORKER · BONNERS FERRY, ID

Provider

NPI
1124397476
Credential
CSW
Primary specialty
CLINICAL SOCIAL WORKER
Gender
Male
Medical school
OTHER
Graduation year
2004

Practice

Address
—, BONNERS FERRY, ID 83805
Phone
2089467005
Accepts Medicare
Yes (individual)
Telehealth
No

Source

Authoritative
NPI Registry
Machine
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