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Steven Sample, LMSW

Social Worker in Coeur D Alene, ID. Individual provider (NPI-1).

NPI number1821362963
StatusActive
Last updated in NPPESMar 7, 2012

Details

NPI
1821362963
Entity type
Individual (NPI-1)
Name
Steven Sample
Credential
LMSW
Sex
Male
Sole proprietor
No
Enumeration date
Mar 7, 2012
Last updated
Mar 7, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
104100000X Social WorkerLMSW-30059IDYes

Practice location

109 E Harrison Ave
Coeur D Alene, ID 83814-3238

Phone 208-664-8347 · Fax 208-664-9217

Mailing address

2900 N Government Way # 136
Coeur D Alene, ID 83815-3751

Phone 208-664-8348 · Fax 208-664-9217

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