Samantha Paige Averett, LMSW

NPI #1932711165 in Blackfoot, Idaho

Provider Information

NPI Number: 1932711165
Entity Type: Individual
Name: Samantha Paige Averett, LMSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LMSW
Enumeration Date: Aug 19, 2020
Last Updated: Aug 19, 2020

Practice Location

Address: 60 N BROADWAY
City: Blackfoot
State: Idaho
ZIP Code: 83221
Phone: (208) 782-3434

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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