Individual
NATHAN TRENT TAGGART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
1115 IRONWOOD DRIVE, COEUR D ALENE, ID 83814-4936
(208) 765-0955
(208) 765-6972
Mailing address
211 E. COEUR D ALENE AVE, #102, COEUR D ALENE, ID 83814
(208) 765-0955
(208) 765-6972
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW29179
—
Other
Enumeration date
08/11/2008
Last updated
12/27/2017
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