Most Relevant Information
Provider Data
| NPI Number: | 1003509720 |
| Provider Name: | SHALYCE ANDERSON |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | LMSW-42603 |
Most Important Dates
| Enumeration Date: | 05/30/2023 |
| Last Updated: | 05/30/2023 |
Provider Practice Location
801 POLE LINE RD W
TWIN FALLS
ID
833015810
Practice Location Phone/Fax
| Phone: | 2086705214 |
| Fax: |
Provider Mailing Location
801 POLE LINE RD W
TWIN FALLS
ID
833015810
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |