DORA L AXTELL

LAPWAI, ID
NPI1215695804
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: ID  LMSW-41113)
Additional Taxonomies1041C0700X Social Worker, Clinical
(Licence: ID  LMSW-41113)
Enumeration Date2021-12-01
Last Update Date2021-12-02
Business Address
DORA L AXTELL LMSW
111 BEVER GRADE
LAPWAI, ID 83540
Phone number: 208-843-7244
Mailing Address
DORA L AXTELL LMSW
PO BOX 367
LAPWAI, ID 83540-0367
Phone number: 208-843-7244