Kent Thibault, LMSW, CADC

NPI #1639454770 in Jerome, Idaho

Provider Information

NPI Number: 1639454770
Entity Type: Individual
Name: Kent Thibault, LMSW, CADC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Credential: LMSW, CADC
Enumeration Date: Oct 20, 2011
Last Updated: Oct 20, 2011

Practice Location

Address: 251 N 300 E
City: Jerome
State: Idaho
ZIP Code: 83338-5451
Phone: (208) 324-8284

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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