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Mr. DENNIS LEON AUGUSTUS -- MSW, LCSW

Individual Provider (NPI-1) Active

Social Worker, Clinical

Provider Information

NPI Number
1538235585
Provider Type
Individual Provider (NPI-1)
Credentials
MSW, LCSW
Status
Active

Contact & Location

Address
17329 COLT DR, CALDWELL, ID, 836078647
Phone
(208) 459-8088
Fax
(208) 459-1552

Specialties & Taxonomies

Social Worker, Clinical Primary License: ID #LCSW 1433

All Addresses

MAILING

17329 COLT DR

CALDWELL, ID, 836078647

(208) 459-8088

LOCATION

17329 COLT DR

CALDWELL, ID, 836078647

(208) 459-8088