CORBETT A. SOUSA

CALDWELL, ID
NPI1376941112
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
(Licence: ID  LMSW-34322)
Enumeration Date2014-12-10
Last Update Date2023-07-14
Business Address
Mr. CORBETT A. SOUSA LMSW
420 W USTICK RD
CALDWELL, ID 83605-6279
Phone number: 208-649-6048
Mailing Address
Mr. CORBETT A. SOUSA LMSW
420 W USTICK RD
CALDWELL, ID 83605-6279
Phone number: 208-453-8915
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