Individual
CLAY SALMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
500 W BANNOCK ST, BOISE, ID 83702-5916
(208) 907-4166
Mailing address
500 W BANNOCK ST, BOISE, ID 83702-5916
(208) 907-4166
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LCSW-41619
ID
104100000X
Social Worker
Primary
LMSW-38367
ID
Other
Enumeration date
03/01/2019
Last updated
07/01/2026
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