HANNEMAE BROOK WASSON LMSW
Individual Provider (NPI-1)
Active
Social Worker, Clinical
Provider Information
- NPI Number
1063268522- Provider Type
- Individual Provider (NPI-1)
- Credentials
- LMSW
- Status
- Active
Contact & Location
- Address
- 414 E COEUR D'ALENE AVE SUITE C, COEUR D'ALENE, ID, 83814
- Phone
- (208) 277-0495
Specialties & Taxonomies
Social Worker, Clinical
Primary License: ID #5571492