J STODDARD, MSW

Social Worker - Clinical

Active Individual
NPI: 1811064801

Practice Address

200 SHC
Rexburg, ID 83460

Phone: (208) 496-1100

Specialties

Specialty Code Primary License
Social Worker - Clinical 1041C0700X Yes LCSW-945 (ID)

Frequently Asked Questions

NPI 1811064801 is the National Provider Identifier for J STODDARD, MSW, a Social Worker - Clinical provider located in Rexburg, ID. This NPI was enumerated on November 29, 2006.
J STODDARD, MSW practices at 200 SHC, Rexburg, ID 83460.

Quick Facts

NPI
1811064801
Type
Individual
Enumerated
Nov 29, 2006
Last Updated
Jul 8, 2007

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