Individual
KAITLYN SUE SPALDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
801 POLE LINE RD W, TWIN FALLS, ID 83301-5810
(517) 227-7979
Mailing address
18252 PINE MEADOWS DR, THOMPSONVILLE, MI 49683-9580
(517) 227-7979
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
225X00000X
Occupational Therapist
Primary
OT-2646
ID
Other
Enumeration date
06/03/2019
Last updated
09/12/2022
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