Individual
KAMERON MANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1919 LINCOLN WAY STE 315, COEUR D ALENE, ID 83814
(208) 625-6000
(208) 625-6001
Mailing address
2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 83814-6051
(208) 625-5059
(208) 625-5731
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW - 33047
ID
Other
Enumeration date
11/06/2013
Last updated
01/23/2019
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