Individual
MR. JAMES SOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
563 W BOGUS VIEW DR, EAGLE, ID 83616-5871
(208) 938-8822
Mailing address
563 W BOGUS VIEW DR, EAGLE, ID 83616-5871
(208) 938-8822
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW 108
ID
Other
Enumeration date
12/15/2016
Last updated
12/15/2016
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