Individual
ANTHONY ROBERT PICCHENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1113 F ST, LEWISTON, ID 83501-1929
(208) 799-3176
Mailing address
1113 F ST, LEWISTON, ID 83501-1929
(208) 799-3161
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-36155
ID
Other
Enumeration date
03/07/2019
Last updated
03/07/2019
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