Individual
DAWN ELIZABETH SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
777 HOSPITAL WAY, STE G11, POCATELLO, ID 83201-5175
(208) 239-1710
(208) 239-1713
Mailing address
777 HOSPITAL WAY, STE G11, POCATELLO, ID 83201-5175
(208) 239-1710
(208) 239-1713
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-33420
ID
Other
Enumeration date
12/25/2013
Last updated
12/25/2013
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