Individual
MR. ROBERT MICHAEL WRAITH I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2195 IRONWOOD CT, COEUR D ALENE, ID 83814-2624
(208) 769-1430
Mailing address
2195 IRONWOOD CT, COEUR D ALENE, ID 83814-2624
(208) 769-1430
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-30645
ID
Other
Enumeration date
04/08/2016
Last updated
04/08/2016
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