Individual
KAITLIN THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
824 S DIAMOND ST, NAMPA, ID 83686-5960
(208) 812-4999
Mailing address
965 RIDGE RD, MCCALL, ID 83638-5417
(208) 630-4770
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LMSW-36235
ID
1041C0700X
Clinical Social Worker
Primary
LCSW-41465
ID
Other
Enumeration date
10/28/2018
Last updated
12/14/2023
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