Individual
DONNA COLBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6050 E KINGSWOOD LN, COEUR D ALENE, ID 83814-5263
(208) 651-3948
Mailing address
6050 E KINGSWOOD LN, COEUR D ALENE, ID 83814-5263
(208) 651-3948
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-25803
ID
Other
Enumeration date
05/25/2012
Last updated
05/25/2012
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