Individual
PHILIP L OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1417 FOURTH, COEUR D ALENE, ID 83814-1402
(208) 818-3133
Mailing address
1417 FOURTH, COEUR D' ALENE, ID 83814-1417
(208) 292-2188
(208) 292-2189
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW1054
ID
Other
Enumeration date
07/18/2007
Last updated
04/24/2012
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