Sylinda Lee Mendenhall, LCSW
Social Worker, Clinical in Idaho Falls, ID. Individual provider (NPI-1).
NPI number1164040820
StatusActive
Last updated in NPPESJul 9, 2020
Details
- NPI
- 1164040820
- Entity type
- Individual (NPI-1)
- Name
- Sylinda Lee Mendenhall
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 9, 2020
- Certification date
- Jul 9, 2020
- Last updated
- Jul 9, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 39541 | ID | Yes |
Practice location
771 S Jafer CourtIdaho Falls, ID 83401-8404
Phone 435-760-0685
Mailing address
771 S Jafer CourtIdaho Falls, ID 83401
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