Search › Idaho › 1041C0700X
Tara Smith, LCSW
NPI 1780202440 · on the registry since 2020 · sole proprietor
Practice
- Address
- 905 E Bannock St
Boise, ID 83712 - Phone
- (208) 445-1528
- Fax
- (208) 593-4413
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 104100000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-06-18
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