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Individual

MADISON K CORDOVA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
847 PARKCENTRE WAY STE 7, NAMPA, ID 83651-1794
(208) 229-6050
(855) 212-5682
Mailing address
1650 S TOPAZ WAY, MERIDIAN, ID 83642-4474
(208) 605-7070
(208) 898-3365

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1041C0700X
Clinical Social Worker
Primary
LCSW-44659
ID

Other

Enumeration date
12/16/2020
Last updated
12/16/2025
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