Individual
KRISTIN S HADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
205 N BERKLEY STEET, COUNCIL, ID 83612
(208) 253-6850
(208) 253-6849
Mailing address
PO BOX 428, COUNCIL, ID 83612-0428
(208) 253-6850
(208) 253-6849
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LMSW-28333
ID
Other
Enumeration date
07/13/2010
Last updated
07/13/2010
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