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1173 Hankins Rd N Twin Falls ID 83301-8185 | |
| (208) 871-7889 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1173 Hankins Rd N, Twin Falls, Idaho |
| Authorized Official Name and Position | Jodi Warthen (MEMBER/OWNER) |
| Authorized Official Contact | 2088717889 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1173 Hankins Rd N Twin Falls ID 83301-8185 Ph: (208) 871-7889 | 1173 Hankins Rd N Twin Falls ID 83301-8185 Ph: (208) 871-7889 |
| NPI Number | 1801273271 |
|---|---|
| Provider Enumeration Date | 05/05/2015 |
| Last Update Date | 05/05/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801273271 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 34057 (Idaho) | Primary |
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