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Individual

CASSIDY F HARTSHORN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICSW,LCSW

Contact information

Practice address
1203 IDAHO ST, LEWISTON, ID 83501-1940
(509) 444-8200
Mailing address
1203 IDAHO ST, LEWISTON, ID 83501-1940
(509) 444-8200

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
SE203781
ID
1041C0700X
Clinical Social Worker
Primary
1271753
ID
1041C0700X
Clinical Social Worker
LW61519180
WA

Other

Enumeration date
09/20/2021
Last updated
03/24/2025
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