MR. THAYNE ANDERSEN, LCSW

Social Worker - Clinical

Active Individual
NPI: 1194909952

Practice Address

717 MISSION ROAD
Fort Hall, ID 83203

Phone: (208) 237-5631

Specialties

Specialty Code Primary License
Social Worker - Clinical 1041C0700X Yes LCSW-27518 (ID)

Frequently Asked Questions

NPI 1194909952 is the National Provider Identifier for MR. THAYNE ANDERSEN, LCSW, a Social Worker - Clinical provider located in Fort Hall, ID. This NPI was enumerated on December 28, 2007.
MR. THAYNE ANDERSEN, LCSW practices at 717 MISSION ROAD, Fort Hall, ID 83203.

Quick Facts

NPI
1194909952
Type
Individual
Enumerated
Dec 28, 2007
Last Updated
Dec 28, 2007

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