Individual
ELIZABETH L STOCKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1550 N CRESTMONT DR STE A, MERIDIAN, ID 83642-2177
(208) 229-4201
(208) 288-4279
Mailing address
2565 N GREENVILLE AVE, KUNA, ID 83634-5256
(208) 869-5187
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
25074
ID
Other
Enumeration date
07/11/2021
Last updated
07/11/2021
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