TODD STEVENS

CALDWELL, ID
NPI1902294184
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ID  LCSW-33649)
Enumeration Date2014-12-23
Last Update Date2014-12-23
Business Address
Mr. TODD STEVENS LCSW
2609 S 10TH AVE STE 102
CALDWELL, ID 83605-6885
Phone number: 208-454-2766
Mailing Address
Mr. TODD STEVENS LCSW
1432 N ANTIMONY PL
KUNA, ID 83634-3390
Phone number: 208-602-9120