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NPI Code Detail

MEDICARE: BARBARA F BRINTON LCSW

MEDICARE:   BARBARA F BRINTON  LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker1157ID

General Provider Information

NPI Number : 1578642260
Entity Type Code : Individual
Provider Name (Legal Business Name) : BARBARA F BRINTON LCSW
Provider Business Mailing Address
First Line : 560 W CANFIELD AVE
Second Line : STE 300
City : COEUR D ALENE
State : ID
Zip : 83815-7950
Country : US
Telephone Number : 208-758-7111
Fax Number : 888-398-4676
Provider Business Practice Location Address
First Line : 560 W CANFIELD AVE
Second Line : STE 300
City : COEUR D ALENE
State : ID
Zip : 83815-7950
Country : US
Telephone Number : 208-758-7111
Fax Number : 888-398-4676
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/03/2006
Last Update Date : 08/05/2016

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Directions to “ BARBARA F BRINTON LCSW” Practice Location

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