Individual
MR. ROBERT ANDREW SMITHSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
1334 MILLER AVE, BURLEY, ID 83318-1729
(208) 312-3648
Mailing address
608 S 125 LN W, RUPERT, ID 83350-9660
(208) 312-3648
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-31488
ID
Other
Enumeration date
02/10/2012
Last updated
02/10/2012
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