Individual
TAYLOR NUMEDAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
417 S 6TH ST, BOISE, ID 83702-7632
(208) 577-4460
Mailing address
417 S 6TH ST, BOISE, ID 83702-7632
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-37081
ID
Other
Enumeration date
02/14/2018
Last updated
02/14/2018
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