Individual
ROSEMARY M SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
402 W 4TH S, REXBURG, ID 83440-2640
(208) 359-2500
(208) 359-2500
Mailing address
402 W 4TH S, REXBURG, ID 83440-2640
(208) 359-2500
(208) 359-2500
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LMSW-31087
ID
Other
Enumeration date
04/07/2011
Last updated
04/07/2011
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