Individual
BARBARA JEAN BISARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
2120 N LAKEWOOD DR STE B, COEUR D ALENE, ID 83814-2638
(208) 667-3179
(208) 667-5938
Mailing address
2120 N LAKEWOOD DR STE B, COEUR D ALENE, ID 83814-2638
(208) 667-3179
(208) 667-5938
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LSW-25831
ID
Other
Enumeration date
05/09/2013
Last updated
05/09/2013
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