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Individual

MRS. LINDA D FUCONE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
506 N 4TH AVE, SANDPOINT, ID 83864-1513
(208) 263-5393
(208) 265-2301
Mailing address
506 N 4TH AVE, 155 DANCING LIGHTS LANE, SANDPOINT, ID 83864-1513
(208) 561-1211
(208) 265-2301

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-30870
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
LCSW-30870
NEW LICENSE FOR STATE OF IDAHO
ID
Enumeration date
04/23/2007
Last updated
05/21/2016
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