Individual
MADDIE CRUME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2315 HAW CREEK BLVD, EMMETT, ID 83617-9681
(208) 580-8561
Mailing address
2315 HAW CREEK BLVD, EMMETT, ID 83617-9681
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
ID
Other
Enumeration date
10/16/2025
Last updated
10/16/2025
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