Kevin James Smith, LMSW
Social Worker in Boise, ID. Individual provider (NPI-1).
NPI number1295397495
StatusActive
Last updated in NPPESJul 8, 2019
Details
- NPI
- 1295397495
- Entity type
- Individual (NPI-1)
- Name
- Mr. Kevin James Smith
- Credential
- LMSW
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 8, 2019
- Last updated
- Jul 8, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | – | ID | Yes |
Practice location
1076 E Rubicon DrBoise, ID 83716-5279
Phone 208-954-1113
Mailing address
1076 E Rubicon DrBoise, ID 83716-5279
Phone 208-954-1113
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All 475 Social Worker providers in Boise · All 12,265 providers in Boise
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