MR. MICHAEL IDE, LSW

Social Worker

Active Individual
NPI: 1134387897

Practice Address

562 WYOMING AVENUE
CHOICES
Kingston, PA 18704

Phone: (570) 552-3700

Specialties

Specialty Code Primary License
Counselor - Addiction (Substance Use Disorder) 101YA0400X No -
Social Worker 104100000X Yes SW129791 (PA)

Frequently Asked Questions

NPI 1134387897 is the National Provider Identifier for MR. MICHAEL IDE, LSW, a Social Worker provider located in Kingston, PA. This NPI was enumerated on May 29, 2008.
MR. MICHAEL IDE, LSW practices at 562 WYOMING AVENUE, CHOICES, Kingston, PA 18704.

Quick Facts

NPI
1134387897
Type
Individual
Enumerated
May 29, 2008
Last Updated
Aug 17, 2017

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