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1093036147
JUD EUGENE LEIFHEIT
COEUR D ALENE, ID
NPI
1093036147
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID LCSW-29491)
Enumeration Date
2010-06-11
Last Update Date
2020-01-15
Business Address
Mr. JUD EUGENE LEIFHEIT LCSW
1110 W PARK PL STE 305
COEUR D ALENE, ID 83814-2784
Phone number: 208-667-6606
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Mailing Address
Mr. JUD EUGENE LEIFHEIT LCSW
1110 W PARK PL STE 305
COEUR D ALENE, ID 83814-2784
Phone number: 208-667-6606
Copy
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