Individual
SARAH FAITH MACVITTIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
3292 N 13TH ST, COEUR D ALENE, ID 83815-6613
(208) 704-1384
Mailing address
3292 N 13TH ST, COEUR D ALENE, ID 83815-6613
(208) 704-1384
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
SA60992484
WA
1041C0700X
Clinical Social Worker
Primary
LW61385314
WA
390200000X
Student in an Organized Health Care Education/Training Program
CG60999583
WA
Other
Enumeration date
09/04/2019
Last updated
05/30/2023
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