Individual
TAMARA YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
707 N 7TH AVE, POCATELLO, ID 83201-5785
(208) 242-3044
(208) 904-0494
Mailing address
707 N 7TH AVE, POCATELLO, ID 83201-5785
(208) 242-3044
(208) 904-0494
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-45092
ID
1041C0700X
Clinical Social Worker
LMSW-39896
ID
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
01/29/2016
Last updated
05/09/2024
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