Individual
LAURIE D REGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW 688
Contact information
Practice address
2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 83814-6051
(208) 666-2000
(208) 666-3963
Mailing address
2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 83814-6051
(208) 666-2000
(208) 666-3963
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
688
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
805183600
—
ID
Enumeration date
08/23/2005
Last updated
02/23/2010
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