| The Neutral Agency, Llc | |
|
14777 W Highway 53 Rathdrum ID 83858-8596 | |
| (208) 755-1343 | |
| Not Available |
| Full Name | The Neutral Agency, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 14777 W Highway 53, Rathdrum, Idaho |
| Authorized Official Name and Position | Michelle J Thompson (MANAGING MEMBER) |
| Authorized Official Contact | 2087551343 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Neutral Agency, Llc Po Box 1185 Rathdrum ID 83858-1185 Ph: (208) 755-1343 | The Neutral Agency, Llc 14777 W Highway 53 Rathdrum ID 83858-8596 Ph: (208) 755-1343 |
| NPI Number | 1588417778 |
|---|---|
| Provider Enumeration Date | 04/08/2024 |
| Last Update Date | 04/08/2024 |
| Certification Date | 04/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588417778 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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