Individual
SHIRA URIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2201 N IRONWOOD PL STE 100, COEUR D ALENE, ID 83814-2670
(208) 769-4222
(844) 803-7399
Mailing address
PO BOX 1387, HAYDEN, ID 83835-1387
(208) 415-0299
(208) 625-2070
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW39048
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CD266847B
DRIVERS LICENSE
ID
Enumeration date
12/04/2019
Last updated
12/22/2020
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