Individual
CAITLIN ELAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
630 ADDISON AVE W, TWIN FALLS, ID 83301-5491
(208) 736-5048
(208) 735-2126
Mailing address
630 ADDISON AVE W STE 1000, TWIN FALLS, ID 83301-5853
(208) 736-5048
(208) 735-2126
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/11/2022
Last updated
04/11/2022
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