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Fred Dodge, LCSW
NPI 1669117438 · on the registry since 2022 · sole proprietor
Practice
- Address
- 2650 S Eagle Rd
Meridian, ID 83642 - Phone
- (986) 200-4290
- Organisation at this address
- Lice Clinics Of Boise
Oak Ridge Recovery LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 5
Registry record
- Primary taxonomy
- Clinical Social Worker
1041C0700X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-05-04
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