Family Services, PLLC
Social Worker, Clinical in Emmett, ID. Organization (NPI-2).
NPI number1861702011
StatusActive
Last updated in NPPESOct 26, 2010
Details
- NPI
- 1861702011
- Entity type
- Organization (NPI-2)
- Legal business name
- Family Services, PLLC
- Organization subpart
- No
- Enumeration date
- Oct 20, 2010
- Last updated
- Oct 26, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | lcsw-29299 | ID | Yes |
Practice location
2007 E Quail Run Rd Ste 2Emmett, ID 83617-5059
Phone 208-365-2525 · Fax 208-365-2234
Mailing address
Po Box 981Emmett, ID 83617-0981
Phone 208-365-2525 · Fax 208-365-2234
Authorized official
Melissa Mahealani Paller
Owner
2083652525
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