Individual
SARAH E HLEBICHUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
21 W COMMERCE DR STE F, HAYDEN, ID 83835-9289
(208) 704-0046
Mailing address
PO BOX 895, HAYDEN, ID 83835-0895
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LMSW-29995
ID
1041C0700X
Clinical Social Worker
Primary
LCSW-35594
ID
Other
Enumeration date
10/02/2012
Last updated
11/04/2022
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