Individual
MRS. PAIGE LEIGH SMEDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
210 W BURNSIDE AVE, CHUBBUCK, ID 83202-4916
(208) 238-9000
Mailing address
2122 COLONIAL LN, POCATELLO, ID 83201-2512
(208) 490-3970
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
4761769
ID
Other
Enumeration date
07/30/2024
Last updated
07/30/2024
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