Individual
ALEKSANDRA E KROTOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1224 WASHINGTON AVE STE 206, SANDPOINT, ID 83864-5055
(406) 282-1634
Mailing address
1224 WASHINGTON AVE STE 206, SANDPOINT, ID 83864-5055
(509) 230-6030
(406) 282-1634
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1427003862
—
MT
05
—
500673381
—
OR
Enumeration date
08/31/2015
Last updated
10/10/2024
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