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Individual

HENRY L VERDUGO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
515 PINE ST STE B2, SANDPOINT, ID 83864-1640
(208) 627-8988
(208) 263-5581
Mailing address
515 PINE ST, SUITE B2, SANDPOINT, ID 83864-1640
(208) 627-8988
(208) 263-5581

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
28573
ID

Other

Enumeration date
10/29/2007
Last updated
11/13/2010
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