Individual
MR. THOMAS J CHILDERS-SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
7941 W RIFLEMAN ST, BOISE, ID 83704-9001
(208) 895-7950
(208) 322-0048
Mailing address
10420 W HUNTWOOD DR, BOISE, ID 83709-7125
(208) 850-8410
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LMSW-35083
ID
Other
Enumeration date
04/19/2018
Last updated
04/19/2018
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