Individual
MS. DEBORAH K SCUDDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
601 W CAMERON AVE, KELLOGG, ID 83837-2004
(208) 784-1283
(208) 784-0151
Mailing address
601 W CAMERON AVE, KELLOGG, ID 83837-2004
(208) 784-1283
(208) 784-0151
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW365
ID
Other
Enumeration date
01/08/2007
Last updated
07/08/2007
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