STEVEN SAMPLE

COEUR D ALENE, ID
NPI1821362963
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: ID  LMSW-30059)
Enumeration Date2012-03-07
Last Update Date2012-03-07
Business Address
STEVEN SAMPLE LMSW
109 E HARRISON AVE
COEUR D ALENE, ID 83814-3238
Phone number: 208-664-8347
Mailing Address
STEVEN SAMPLE LMSW
2900 N GOVERNMENT WAY # 136
COEUR D ALENE, ID 83815-3751
Phone number: 208-664-8348
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