Individual
KRISTINA FARMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2195 IRONWOOD CT, COEUR D ALENE, ID 83814-2628
(208) 769-1406
Mailing address
11933 S POPLAR ST, CATALDO, ID 83810-9384
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LMSW 28670
ID
Other
Enumeration date
03/17/2016
Last updated
03/17/2016
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