MRS. Debra Street, M.S.W.

NPI #1043203789 in Lewiston, Idaho

Provider Information

NPI Number: 1043203789
Entity Type: Individual
Name: MRS. Debra Street, M.S.W.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Credential: M.S.W.
Enumeration Date: Aug 29, 2005
Last Updated: Nov 6, 2013

Practice Location

Address: 0309 2ND ST
City: Lewiston
State: Idaho
ZIP Code: 83501-2163
Phone: (208) 746-0137

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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