Most Relevant Information
Provider Data
| NPI Number: | 1003054560 |
| Provider Name: | LORI NICOLE EATON LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | LMSW 28083 |
Most Important Dates
| Enumeration Date: | 01/21/2009 |
| Last Updated: | 10/17/2016 |
Provider Practice Location
3709 N LOCUST GROVE RD STE 100
MERIDIAN
ID
836466450
Practice Location Phone/Fax
| Phone: | 2085717100 |
| Fax: | 2084934331 |
Provider Mailing Location
3709 N LOCUST GROVE RD STE 100
MERIDIAN
ID
836466450
Provider Mailing Phone/Fax
| Phone: | 2085717100 |
| Fax: | 2084934331 |