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NPI Code Detail

MEDICARE: KASSI MCDOWELL LMSW

MEDICARE:   KASSI  MCDOWELL  LMSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial WorkerLMSW-28231ID

General Provider Information

NPI Number : 1043632417
Entity Type Code : Individual
Provider Name (Legal Business Name) : KASSI MCDOWELL LMSW
Provider Business Mailing Address
First Line : 417 S 6TH ST
Second Line :
City : BOISE
State : ID
Zip : 83702-7632
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 417 S 6TH ST
Second Line :
City : BOISE
State : ID
Zip : 83702-7632
Country : US
Telephone Number : 208-577-4470
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/20/2014
Last Update Date : 01/20/2014

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Directions to “ KASSI MCDOWELL LMSW” Practice Location

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