David Nystrom, LCSW

NPI #1194537084 in Lewiston, Idaho

Provider Information

NPI Number: 1194537084
Entity Type: Individual
Name: David Nystrom, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Jan 27, 2025
Last Updated: Jan 27, 2025

Practice Location

Address: 1514 G ST
City: Lewiston
State: Idaho
ZIP Code: 83501-2017
Phone: (208) 816-6078

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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