Individual
ELIZABETH M MCDOWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2235 E 25TH ST, SUITE 160, IDAHO FALLS, ID 83404-7519
(208) 528-9812
(208) 528-5747
Mailing address
150 SHOUP AVE, SUITE 17, IDAHO FALLS, ID 83402
(208) 528-5700
(208) 528-5700
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW30195
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1881708832
—
ID
Enumeration date
01/18/2011
Last updated
03/31/2016
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