Individual
KATHERINE I CONTWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW LCSW
Contact information
Practice address
204 COURTHOUSE DR, SALMON, ID 83467
(208) 756-2619
Mailing address
PO BOX 1554, SALMON, ID 83467
(208) 756-2619
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
24486
ID
Other
Enumeration date
07/14/2008
Last updated
07/21/2008
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