Ethan Smith, LMSW
NPI #1144657966 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1144657966
- Entity Type
- Individual
- Name
- Ethan Smith, LMSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker
- Credential
- LMSW
- Enumeration Date
- Oct 11, 2013
- Last Updated
- Oct 11, 2013
Practice Location
- Address
- 540 3RD ST
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83401-3953
- Phone
- (208) 524-5607
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker |
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