SearchIdaho101YM0800X

Beverly Roots, LMSW

NPI 1639525256 · on the registry since 2016 · sole proprietor

Practice

Address
807 N 2nd St
Coeur D Alene, ID 83814
Phone
(208) 771-2779

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-05-12

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