Organization
FREE & WELL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEVONEY TAYLOR KODAD LCSW (CEO)
(208) 254-0546
Entity
Organization
Contact information
Practice address
784 S CLEARWATER LOOP STE R, POST FALLS, ID 83854-9599
(208) 254-0546
Mailing address
PO BOX 574, MERIDIAN, ID 83680-0574
(208) 254-0546
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/05/2024
Last updated
12/05/2024
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