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1902294184
TODD STEVENS
CALDWELL, ID
NPI
1902294184
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID LCSW-33649)
Enumeration Date
2014-12-23
Last Update Date
2014-12-23
Business Address
Mr. TODD STEVENS LCSW
2609 S 10TH AVE STE 102
CALDWELL, ID 83605-6885
Phone number: 208-454-2766
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Mailing Address
Mr. TODD STEVENS LCSW
1432 N ANTIMONY PL
KUNA, ID 83634-3390
Phone number: 208-602-9120
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