Individual
ANGELA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW-38273
Contact information
Practice address
1305 2ND ST S STE 201, NAMPA, ID 83651-3964
(208) 463-0202
(208) 463-0205
Mailing address
1305 2ND ST S STE 201, NAMPA, ID 83651-3964
(208) 463-0202
(208) 463-0205
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/12/2019
Last updated
11/12/2019
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