Individual
SUSAN HELEN HENNIGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2005 N IRONWOOD PKWY STE 113, COEUR D ALENE, ID 83814-2614
(208) 758-8302
(208) 758-0850
Mailing address
2005 N IRONWOOD PKWY STE 113, COEUR D ALENE, ID 83814-2614
(208) 758-8302
(208) 758-0850
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW - 1136
ID
1041C0700X
Clinical Social Worker
LW 00008547
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8940571
L&I CRIME VICTIMS
WA
Enumeration date
09/30/2005
Last updated
05/24/2024
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