SearchIdahoSocial Worker

Kenric Gordon, LMSW

NPI 1114540804 · on the registry since 2020

Practice

Address
210 W Burnside Ave Ste A
Chubbuck, ID 83202
Phone
(208) 238-9000
Organisation at this address
Elite Care Chiropractic
Mental Health Specialists
Mental Health Specialists
Small Talk The Speech And Language Preschool
Triton Wellness Solutions & Softwave Therapy
Inferred from a shared address, not stated in the registry.
Clinicians at this address
24

Registry record

Primary taxonomy
Social Worker
104100000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-05-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho