Organization
LIBERTY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT PIERCE SHERMAN IV (MANAGER)
(208) 818-2290
Entity
Organization
Contact information
Practice address
1111 E SHERMAN AVE, COEUR D ALENE, ID 83814-4154
(208) 818-2290
Mailing address
1111 E SHERMAN AVE, COEUR D ALENE, ID 83814-4154
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LCSW-31731
ID
Other
Enumeration date
10/02/2012
Last updated
10/02/2012
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