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Individual

DOUGLAS EACHO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMSW

Contact information

Practice address
1602 E SELTICE WAY, SUITE D, POST FALLS, ID 83854-7082
(208) 619-0190
(208) 619-0195
Mailing address
1602 E SELTICE WAY, SUITE D, POST FALLS, ID 83854-7082
(208) 619-0190
(208) 619-0195

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-30590
ID

Other

Enumeration date
04/22/2013
Last updated
04/22/2013
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