Individual
MRS. CHELSEA COLLEEN BROUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1110 W PARK PL STE 202, COEUR D ALENE, ID 83814-2783
(208) 244-0120
Mailing address
1110 W PARK PL STE 202, COEUR D ALENE, ID 83814-2783
(208) 244-0120
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-43630
ID
1041C0700X
Clinical Social Worker
LMSW-43630
ID
Other
Enumeration date
05/24/2023
Last updated
06/06/2024
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