Practice Partners, Llc.

NPI #1396057303 in Ammon, Idaho

Provider Information

NPI Number: 1396057303
Entity Type: Organization
Organization Name: Practice Partners, Llc.
Primary Specialty: Counselor
Enumeration Date: Jul 7, 2010
Last Updated: Jul 7, 2010

Practice Location

Address: 4185 BIRCHWOOD CIR
City: Ammon
State: Idaho
ZIP Code: 83406-4648
Phone: (208) 534-8303

Authorized Official

Name: MRS. TOMI N SMITH
Title: CEO
Phone: (208) 534-8303

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X
Counselor	101Y00000X	Primary

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