Individual
DEIDRE COLVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2550 ADDISON AVE E, TWIN FALLS, ID 83301-6767
(208) 814-1000
Mailing address
3147 E CHASEWOOD DR, AMMON, ID 83406-4792
(208) 716-4792
(208) 716-4792
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
8921513
ID
Other
Enumeration date
04/02/2026
Last updated
04/02/2026
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