Organization
ADVANCED CLINICAL TRAUMA SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JEWELYA K STEPHENS (OFFICE MANAGER)
(208) 600-2184
Entity
Organization
Contact information
Practice address
2950 E MAGIC VIEW DR STE 192, MERIDIAN, ID 83642
(208) 600-2184
(833) 258-9488
Mailing address
2950 E MAGIC VIEW DR STE 192, MERIDIAN, ID 83642
(208) 600-2184
(833) 258-9488
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/12/2020
Last updated
02/12/2025
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