Search › Idaho › 104100000X
Corbett Sousa, LMSW
NPI 1376941112 · on the registry since 2014 · sole proprietor
Practice
- Address
- 420 W Ustick Rd
Caldwell, ID 83605 - Phone
- (208) 649-6048
- Fax
- (208) 906-2343
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-07-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho