Individual
CHRISTINA JIRAPHA THONGDEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
625 POLELINE ROAD WEST, SUITE 2A, TWIN FALLS, ID 83301
(208) 814-1177
(208) 814-1971
Mailing address
530 LYNWOOD BLVD, TWIN FALLS, ID 83301-4131
(208) 420-1424
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-35870
ID
Other
Enumeration date
04/23/2018
Last updated
04/23/2018
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