Individual
CAROL J CROTEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 83814-6051
(208) 666-2000
(208) 666-3963
Mailing address
2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 83814-6051
(208) 666-2000
(208) 666-3963
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LCSW24429
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LCSW24429
LICENSE
ID
Enumeration date
12/12/2011
Last updated
12/12/2011
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