Individual
CAITLIN ETAIN STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
915 W EMMA AVE, COEUR D ALENE, ID 83814-2531
(301) 641-0729
Mailing address
915 W EMMA AVE, COEUR D ALENE, ID 83814-2531
(301) 641-0729
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
15123
MD
Other
Enumeration date
03/11/2013
Last updated
09/26/2014
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