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Individual

BONNIE DAVIDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
22480 DUFF LN, MIDDLETON, ID 83644-6041
(208) 965-4502
(208) 505-4280
Mailing address
600 W ASH ST, CALDWELL, ID 83605-5116
(208) 250-1275

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44567
ID

Other

Enumeration date
10/02/2015
Last updated
01/08/2026
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