Individual
MRS. STEVIE N CLAXTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2705 E 17TH ST, AMMON, ID 83406-6601
(208) 346-7500
Mailing address
4072 BIRCHWOOD CIR, AMMON, ID 83406-4673
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-37240
ID
Other
Enumeration date
12/20/2017
Last updated
12/20/2017
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