Individual
ROBERT ROSSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
KANIKSU HEALTH SERVICES, 6615 COMANCHE ST, BONNERS FERRY, ID 83805
(612) 343-4215
Mailing address
KANIKSU HEALTH SERVICES, 6615 COMANCHE ST, BONNERS FERRY, ID 83805
(612) 343-4215
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8536951-3501
UT
Other
Enumeration date
07/24/2015
Last updated
01/08/2019
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