Individual
MS. KATHRYN M DUMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
531 BRYDEN AVE, LEWISTON, ID 83501-4438
(208) 798-1646
Mailing address
1113 GRELLE AVE, LEWISTON, ID 83501-5429
(208) 791-7749
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LSW32417
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
806555100
—
ID
Enumeration date
09/03/2013
Last updated
09/03/2013
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