NPI 1003327610

Mackenzie Bryant Garrison, LBSW

Practitioner Social Worker Lewiston, ID

Practice location

Address: 1118 F St # B, Lewiston, ID 83501-1930
Phone: (208) 799-4440

Registered specialties

Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 104100000X Licence 36722 (ID)

Other Social Worker providers in Idaho →

Registry record

NPI: 1003327610
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Oct 2017
Record last updated: 23 Oct 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.