MR. Ralph Harriman IV, LMSW

NPI #1194120980 in Shelley, Idaho

Provider Information

NPI Number: 1194120980
Entity Type: Individual
Name: MR. Ralph Harriman IV, LMSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Credential: LMSW
Enumeration Date: Oct 23, 2014
Last Updated: Oct 23, 2014

Practice Location

Address: 1006 N HIGHWAY 91
City: Shelley
State: Idaho
ZIP Code: 83274-5202
Phone: (208) 360-6170

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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