Search › Idaho › 104100000X
Stacey Titus, L.M.S.W
NPI 1801244843 · on the registry since 2016 · sole proprietor
Practice
- Address
- 11868 W Gunsmoke Dr
Boise, ID 83713 - Phone
- (208) 860-2656
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-06-01
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