Individual
SHARLA J PHELPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
620 S IDAHO AVE, FRUITLAND, ID 83619-2607
(208) 452-7190
(208) 452-5819
Mailing address
PO BOX 743, ONTARIO, OR 97914-0743
(208) 230-0164
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-39058
ID
Other
Enumeration date
02/20/2020
Last updated
02/20/2020
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