Individual
LISEJEAN FREED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1602 E SELTICE WAY, POST FALLS, ID 83854-7082
(208) 619-0190
(208) 619-0195
Mailing address
1602 E SELTICE WAY, POST FALLS, ID 83854-7082
(208) 619-0190
(208) 619-0195
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-31783
ID
Other
Enumeration date
06/15/2012
Last updated
06/15/2012
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