Individual
JEFFREY DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
1262 E 17TH ST, IDAHO FALLS, ID 83404-6126
(208) 346-0688
(208) 620-3027
Mailing address
1262 E 17TH ST, IDAHO FALLS, ID 83404-6126
(208) 346-0688
(208) 620-3027
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LMSW-41904
ID
Other
Enumeration date
03/21/2022
Last updated
04/01/2026
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