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Organization
DAVID A. TEED, CSWP, PA
Active
Organization
DAVID A. TEED, CSWP, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID ANTHONY TEED LCSW (PRESIDENT)
(208) 484-1446
Entity
Organization
Contact information
Practice address
3350 W AMERICANA TER STE 310B, BOISE, ID 83706-2548
(208) 484-1446
(208) 514-1534
Mailing address
3350 W AMERICANA TER STE 310B, BOISE, ID 83706-2548
(208) 484-1446
(208) 514-1534
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LCSW-1031
STATE LICENSURE
ID
Enumeration date
10/17/2022
Last updated
10/17/2022
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