specializing in social worker in Moscow, Idaho

NPI: 1003937962

Provider Type

2

Practice Locations

Mailing Location

P.O. BOX 1123

LEWISTON, ID 83501

📞 2087438101

📠 2087467402

Practice Location

112 WEST 4TH #5

MOSCOW, ID 83843

📞 2088829460

📠 2087467402

Provider Information

Gender:
Sole Proprietor:No
Enumeration Date:4/2/2007
Last Updated:6/11/2008

Credentials

Primary Credential:
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