MR. Bradley Dean Smelcer, OWNER

NPI #1114398765 in Emmett, Idaho

Provider Information

NPI Number: 1114398765
Entity Type: Individual
Name: MR. Bradley Dean Smelcer, OWNER
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Case Manager/Care Coordinator
Credential: OWNER
Enumeration Date: Oct 8, 2015
Last Updated: Oct 8, 2015

Practice Location

Address: 2328 MOUNTAIN VIEW DR
City: Emmett
State: Idaho
ZIP Code: 83617-9533
Phone: (208) 365-3183

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X
Case Manager/Care Coordinator	171M00000X	Primary

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