TAVIA JADE ALLRED
Individual Provider (NPI-1)
Active
Social Worker, Clinical
Provider Information
- NPI Number
1780514620- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1411 FALLS AVE E STE 703, TWIN FALLS, ID, 833013455
- Phone
- (208) 737-0572
Specialties & Taxonomies
Social Worker, Clinical
Primary License: ID #3281417