Christiane E. Magera, LCSW
Social Worker, Clinical in Athol, ID. Individual provider (NPI-1).
NPI number1154580892
StatusActive
Last updated in NPPESJan 19, 2021
Details
- NPI
- 1154580892
- Entity type
- Individual (NPI-1)
- Name
- Christiane E. Magera
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 6, 2008
- Certification date
- Jan 19, 2021
- Last updated
- Jan 19, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | LCSW-31260 | ID | Yes |
Practice location
7 W Remington RdAthol, ID 83801-8506
Phone 208-819-7787
Mailing address
7 W Remington RdAthol, ID 83801-8506
Phone 208-819-7787
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