Individual
CAROLINE MILES BECNEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
7905 N MEADOWLARK WAY STE B, COEUR D ALENE, ID 83815-5041
(208) 772-3116
Mailing address
7905 N MEADOWLARK WAY STE B, COEUR D ALENE, ID 83815-5041
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
7971459
ID
Other
Enumeration date
09/15/2020
Last updated
06/13/2025
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