Individual
MRS. VICTORIA WHITE EAGLE HAHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
325 W 3RD ST, MOSCOW, ID 83843-2204
(208) 882-2566
Mailing address
325 W 3RD ST, MOSCOW, ID 83843-2204
(208) 882-2566
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LCSW-40439
ID
1041C0700X
Clinical Social Worker
Primary
LCSW-40439
ID
Other
Enumeration date
12/02/2016
Last updated
03/05/2026
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