Individual
SABRINA M WAKEFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
111 BEVER GRADE RD, LAPWAI, ID 83540
(208) 843-2271
(208) 843-2658
Mailing address
PO BOX 367, LAPWAI, ID 83540-0367
(208) 843-2271
(208) 843-2658
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
32304
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32304
LICENSE
ID
Enumeration date
10/17/2018
Last updated
10/17/2018
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