A NEW LEAF, INC
Organization (NPI-2)
Active
Family Medicine
Provider Information
- NPI Number
1629492814- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 2548 N STOKESBERRY PL, MERIDIAN, ID, 836461144
- Phone
- (208) 695-6355
- Fax
- (208) 939-5599
Specialties & Taxonomies
Social Worker, Clinical
License: ID #LCSW-1080
Family Medicine
Primary License: ID #M11819