Individual
MR. GERALD THOMAS KURDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
531 BRYDEN AVE, LEWISTON, ID 83501-4438
(208) 798-1646
Mailing address
1106 11TH ST, LEWISTON, ID 83501-2871
(208) 750-6824
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-34119
ID
Other
Enumeration date
01/27/2016
Last updated
01/27/2016
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