Individual
MR. DENNIS LEON AUGUSTUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW
Contact information
Practice address
17329 COLT DR, CALDWELL, ID 83607-8647
(208) 459-8088
(208) 459-1552
Mailing address
17329 COLT DR, CALDWELL, ID 83607-8647
(208) 459-8088
(208) 459-1552
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW 1433
ID
Other
Enumeration date
11/28/2006
Last updated
07/08/2007
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