Individual
MS. VONDA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
104 N BRIDGE ST, #104, SAINT ANTHONY, ID 83445-1455
(208) 624-2006
Mailing address
PO BOX 281, SAINT ANTHONY, ID 83445-0281
(208) 624-2006
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-32900
ID
Other
Enumeration date
05/28/2013
Last updated
05/28/2013
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