Individual
MR. RALPH HARRIMAN IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
1006 N HIGHWAY 91, SHELLEY, ID 83274-5202
(208) 360-6170
Mailing address
1006 N HIGHWAY 91, SHELLEY, ID 83274-5202
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
10/23/2014
Last updated
10/23/2014
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