Individual
RODERIC RINGHAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
6795 N MINERAL DR, COEUR D ALENE, ID 83815-8700
(208) 769-4222
(844) 803-7399
Mailing address
PO BOX 1387, HAYDEN, ID 83835-1387
(208) 415-0299
(208) 620-7020
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33493
ID
172V00000X
Community Health Worker
0
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
QK3301775
DRIVERS LICENSE
ID
Enumeration date
03/10/2020
Last updated
06/02/2020
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