Individual
JUDITH ROONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1522 17TH ST, LEWISTON, ID 83501-3652
(208) 743-8416
(208) 743-4642
Mailing address
PO BOX 341, LEWISTON, ID 83501-0341
(208) 743-8416
(208) 743-4642
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LW00005855
WA
1041C0700X
Clinical Social Worker
Primary
LCSW-35026
ID
Other
Enumeration date
02/18/2015
Last updated
08/18/2021
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