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Individual

STACEY A HOWARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
9751 N GOVERNMENT WAY STE 4, HAYDEN, ID 83835-9645
(208) 682-0572
Mailing address
9751 N GOVERNMENT WAY STE 4, HAYDEN, ID 83835-9645
(208) 518-1096
(208) 601-6181

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
LMSW-31630
ID
1041C0700X
Clinical Social Worker
Primary
LCSW-44072
ID

Other

Enumeration date
06/25/2013
Last updated
09/30/2024
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