Individual
DEEMARLA TAVARES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
3700 W SELTICE WAY, COEUR D ALENE, ID 83814-8921
(208) 620-5250
Mailing address
2201 IRONWOOD PL, COEUR D ALENE, ID 83814-2670
(208) 769-4222
(208) 667-7557
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LMSW-30760
ID
Other
Enumeration date
04/01/2014
Last updated
03/04/2025
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