Individual
SHARON ROTAX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
611 CLINIC RD, CHALLIS, ID 83226-4824
(208) 879-4351
(208) 879-5216
Mailing address
PO BOX 980, CHALLIS, ID 83226-0980
(208) 879-4351
(208) 879-5216
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-43633
ID
Other
Enumeration date
06/29/2023
Last updated
06/29/2023
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