Search › Idaho › 1041C0700X
Robert Wraith, LCSW
NPI 1760846430 · on the registry since 2016 · sole proprietor
Practice
- Address
- 2195 Ironwood Ct
Coeur D Alene, ID 83814 - Phone
- (208) 769-1430
- Organisation at this address
- Idaho Dept Of Health & Welfare Itp Reg. 1
Idaho Dept Of Health & Welfare Esc Region 1
Idaho Dept Of Health & Welfare Reg 1 Amh Cm Cda
Idaho Dept Of Health & Welfare Reg 1 Amh Psr Cda
Idaho Dept Of Health & Welfare Reg 1 Amh Clinic CdaInferred from a shared address, not stated in the registry. - Clinicians at this address
- 25
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-04-08
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