| NPI | 1396004511 |
|---|---|
| Doing Business As | TIM KOBERLEIN LMSW |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY L KOBERLEIN Licensed Master Social Worker 208-467-2673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: ID 30016) |
| Enumeration Date | 2012-05-08 |
| Last Update Date | 2012-05-08 |