Individual
MADISON J RHODES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1309 CAMAS ST, BLACKFOOT, ID 83221-3060
(208) 782-0675
Mailing address
1355 PENDLEBURY LN, BLACKFOOT, ID 83221-3642
(208) 604-8361
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
9861763
ID
Other
Enumeration date
06/15/2026
Last updated
06/15/2026
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