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Mr. OCTAVIAN BISTRICEANU -- LMSW

Individual Provider (NPI-1) Active

Social Worker

Provider Information

NPI Number
1124563739
Provider Type
Individual Provider (NPI-1)
Credentials
LMSW
Status
Active

Contact & Location

Address
1550 N CRESTMONT DR, MERIDIAN, ID, 836422184
Phone
(208) 288-4200

Specialties & Taxonomies

Social Worker Primary License: ID

All Addresses

MAILING

361 W WHITETAIL CT

KUNA, ID, 836343199

(208) 409-2258

LOCATION

1550 N CRESTMONT DR

MERIDIAN, ID, 836422184

(208) 288-4200