Individual
KAMMI IRVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
250 S MAIN ST, PAYETTE, ID 83661-2853
(208) 405-0020
Mailing address
250 S MAIN ST, PAYETTE, ID 83661-2853
(208) 405-0020
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/20/2026
Last updated
01/20/2026
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