Individual
CARRIE P LIPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
325 W 3RD ST, MOSCOW, ID 83843-2204
(208) 882-2566
Mailing address
953 PLUM CT, MOSCOW, ID 83843-9477
(509) 994-1058
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-41527
ID
Other
Enumeration date
06/16/2022
Last updated
03/09/2026
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