Individual
MRS. LISA CATHERINE REEVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, MA
Contact information
Practice address
980 BURLEY AVE, BUHL, ID 83316-1849
(208) 814-9100
Mailing address
980 BURLEY AVE, BUHL, ID 83316-1849
(208) 814-9100
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-36424
ID
Other
Enumeration date
07/07/2015
Last updated
08/08/2023
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