Traci L Birdsell, PHD

NPI #1427807627 in Lewiston, Idaho

Provider Information

NPI Number
1427807627
Entity Type
Individual
Name
Traci L Birdsell, PHD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker
Credential
PHD
Enumeration Date
May 18, 2024
Last Updated
May 18, 2024

Practice Location

Address
312 MILLER ST
State
Idaho
ZIP Code
83501-1944
Phone
(208) 750-1802

Specialties & Taxonomy Codes

Specialty
Social Worker

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