J Reed Stoddard, MSW Valid NPI

Individual provider · Clinical Social Worker · Rexburg, ID

NPI

1811064801

Type

Individual (Type 1)

Primary specialty

Clinical Social Worker (Social Worker)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

1041C0700X

License number

LCSW-945 (ID)

Sex

Male

Sole proprietor

Yes

Enumerated

2006-11-29

Last updated

2007-07-08