Individual
STEPHANIE KAY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
128 N WASHINGTON AVE, EMMETT, ID 83617-2973
(208) 817-1029
(833) 799-3086
Mailing address
PO BOX 574, EMMETT, ID 83617-0574
(208) 817-1029
(833) 799-3086
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
41190
ID
Other
Enumeration date
06/08/2018
Last updated
01/28/2024
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