Individual
STEPHANIE M LITTLE BRAVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
301 N 1ST AVE STE 202, SANDPOINT, ID 83864-1457
(208) 627-3775
Mailing address
565 EUREKA RD, SAGLE, ID 83860-7033
(208) 627-3775
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-35596
ID
Other
Enumeration date
05/03/2012
Last updated
07/12/2023
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