Individual
TODD DOUGLAS SPAULDING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1275 N 400 E, RUPERT, ID 83350-8538
(208) 271-4363
Mailing address
1275 N 400 E, RUPERT, ID 83350-8538
(208) 271-4363
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
41536
ID
1041C0700X
Clinical Social Worker
6606786-3501
UT
Other
Enumeration date
06/16/2010
Last updated
01/30/2025
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