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Lisa Shine, LMSW
NPI 1831373125 · on the registry since 2007
Practice
- Address
- 205 North Berkley Ave
Council, ID 83612 - Phone
- (208) 253-4242
- Fax
- (208) 253-6849
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-12-21
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