Individual
KATEY STROUD CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2995 N COLE RD STE 225, BOISE, ID 83704-5966
(208) 841-4890
Mailing address
2995 N COLE RD STE 225, BOISE, ID 83704-5966
(208) 841-4890
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LMSW - 31618
ID
Other
Enumeration date
07/14/2016
Last updated
07/14/2016
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