CHAD DELOY ANDERSON

COEUR D ALENE, ID
NPI1336261452
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
(Licence: ID  LMSW-26946)
Enumeration Date2007-04-06
Last Update Date2007-07-08
Business Address
-- CHAD DELOY ANDERSON LMSW, MAC
3520 N 15TH ST APT C1
COEUR D ALENE, ID 83815-6629
Phone number: 208-686-1449
Mailing Address
-- CHAD DELOY ANDERSON LMSW, MAC
1115 B ST
PLUMMER, ID 83851
Phone number: 208-686-1449