SADIE GREEN

PONDERAY, ID
NPI1114388105
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ID  LCSW-35936)
Enumeration Date2016-03-17
Last Update Date2016-07-27
Business Address
-- SADIE GREEN
207 LARKSPUR ST
PONDERAY, ID 83852-5011
Phone number: 208-255-3334
Mailing Address
-- SADIE GREEN
514 N SIXTH AVE
SANDPOINT, ID 83864-1525
Phone number: 304-209-0700
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