Individual
ROXANNE LYNETTE VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
7905 N MEADOWLARK WAY, SUITE B, COEUR D ALENE, ID 83815-5041
(208) 772-3116
(208) 772-7677
Mailing address
7905 N MEADOWLARK WAY, SUITE B, COEUR D ALENE, ID 83815-5041
(208) 772-3116
(208) 772-7677
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-34021
ID
Other
Enumeration date
07/16/2014
Last updated
07/16/2014
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