Individual
MR. CHAD T SCHAUGAARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1169 CALL CREEK DR, POCATELLO, ID 83201-3077
(208) 406-7734
Mailing address
1169 CALL CREEK DR, POCATELLO, ID 83201-3077
(208) 406-7734
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
018133
OR
1041C0700X
Clinical Social Worker
Primary
LCSW-30327
ID
1041C0700X
Clinical Social Worker
X-05916
NM
Other
Enumeration date
11/28/2006
Last updated
05/03/2010
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