Individual
MR. JUD EUGENE LEIFHEIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1110 W PARK PL STE 305, COEUR D ALENE, ID 83814-2784
(208) 667-6606
(208) 765-3051
Mailing address
1110 W PARK PL STE 305, COEUR D ALENE, ID 83814-2784
(208) 667-6606
(208) 765-3051
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-29491
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093036147
—
ID
Enumeration date
06/11/2010
Last updated
01/15/2020
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