Individual
MS. RISE KEVALSHAR COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
229 S 8TH ST, ST MARIES, ID 83861-1813
(208) 245-2951
(208) 245-9303
Mailing address
229 S 8TH ST, ST MARIES, ID 83861-1813
(208) 245-2951
(208) 245-9303
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW 33691
ID
Other
Enumeration date
11/17/2015
Last updated
11/17/2015
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