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Dara Ezzell-Pebworth, LMSW
NPI 1760111082 · on the registry since 2022
Practice
- Address
- 28371 El Paso Rd Bldg A
Caldwell, ID 83607 - Phone
- (208) 972-5514
- Organisation at this address
- Promise Academy Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-05-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho