Individual
MR. MICHAEL DAVID SCHWARTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
408 N ALLUMBAUGH ST, BOISE, ID 83704-9209
(208) 323-9600
(208) 323-9606
Mailing address
211 16TH AVE N, PO BOX 9, NAMPA, ID 83687-4058
(208) 461-7149
(208) 467-3391
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW33279
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LMSW 33279
LICENSE
ID
Enumeration date
10/04/2013
Last updated
10/04/2013
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