Individual
MR. BRADLEY DEAN SMELCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OWNER
Contact information
Practice address
2328 MOUNTAIN VIEW DR, EMMETT, ID 83617-9533
(208) 365-3183
(208) 365-4205
Mailing address
2328 MOUNTAIN VIEW DR, EMMETT, ID 83617-9533
(208) 365-3183
(208) 365-4205
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/08/2015
Last updated
10/08/2015
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