Individual
MR. RAYMOND KOSSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
212 N 1ST AVE STE G101, SANDPOINT, ID 83864-1400
(208) 263-7180
(208) 255-2017
Mailing address
1512 HICKORY ST, SANDPOINT, ID 83864-2123
(208) 263-2533
(208) 255-2017
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-26084
ID
Other
Enumeration date
02/07/2007
Last updated
07/08/2007
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