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Individual

MR. MICHAEL J LAPE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
618 W COLLEGE AVE STE 1, SAINT MARIES, ID 83861-5010
(208) 582-8471
(208) 423-0345
Mailing address
PO BOX 43, FERNWOOD, ID 83830-0043
(208) 582-8471
(208) 423-0345

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
LMSW-34867
ID
1041C0700X
Clinical Social Worker
Primary
LCSW-41265
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
LCSW-41265
LCSW-41265
ID
01
LMSW-34867
BUREAU OF OCCUPATIONAL LICENSES IDAHO
ID
Enumeration date
11/19/2014
Last updated
02/25/2026
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