Individual
MR. DAVID NILES HOLCOMB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
769 HIGHWAY 93 S, SALMON, ID 83467-5347
(208) 940-1862
Mailing address
769 HIGHWAY 93 S, SALMON, ID 83467-5347
(208) 940-1862
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-26625
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LCSW-26625
INSURANCE
—
Enumeration date
03/09/2009
Last updated
11/13/2013
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