Individual
MISS DARLENE MARIE BROUMLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
1118 F ST, LEWISTON, ID 83501-1930
(208) 799-4440
(208) 799-5171
Mailing address
1118 F ST, LEWISTON, ID 83501-1930
(208) 799-4440
(208) 799-5171
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LSW1431
ID
Other
Enumeration date
03/28/2016
Last updated
03/28/2016
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