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1770076481
STEPHANIE KAY SMITH
EMMETT, ID
NPI
1770076481
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID 41190)
Enumeration Date
2018-06-08
Last Update Date
2024-01-28
Business Address
STEPHANIE KAY SMITH LCSW
128 N WASHINGTON AVE
EMMETT, ID 83617-2973
Phone number: 208-817-1029
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Mailing Address
STEPHANIE KAY SMITH LCSW
PO BOX 574
EMMETT, ID 83617-0574
Phone number: 208-817-1029
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