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Individual

DANTE SANDRO RUMORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LICSW

Contact information

Practice address
105 PINE ST STE 105A, SANDPOINT, ID 83864-1369
(208) 627-9930
Mailing address
105 PINE ST STE 105A, SANDPOINT, ID 83864-1369
(208) 627-9930

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW37245
ID
1041C0700X
Clinical Social Worker
LW60432303
WA

Other

Enumeration date
09/05/2019
Last updated
07/27/2023
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