Individual
DEVONEY KODAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
784 S CLEARWATER LOOP STE R, POST FALLS, ID 83854-9599
(208) 254-0546
Mailing address
PO BOX 574, MERIDIAN, ID 83680-0574
(208) 254-0546
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
103628
CA
1041C0700X
Clinical Social Worker
6061179
ID
Other
Enumeration date
09/28/2017
Last updated
01/22/2025
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