Organization
PRACTICE PARTNERS, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TOMI N SMITH (CEO)
(208) 534-8303
Entity
Organization
Contact information
Practice address
4185 BIRCHWOOD CIR, AMMON, ID 83406-4648
(208) 534-8303
Mailing address
4185 BIRCHWOOD CIR, AMMON, ID 83406-4648
(208) 534-8303
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
104100000X
Social Worker
—
—
Other
Enumeration date
07/07/2010
Last updated
07/07/2010
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