Brent Richard Ide, LSCSW

NPI #1225340912 in Newton, Kansas

Provider Information

NPI Number: 1225340912
Entity Type: Individual
Name: Brent Richard Ide, LSCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LSCSW
Enumeration Date: Jul 9, 2010
Last Updated: Oct 27, 2014

Practice Location

Address: 1901 E 1ST ST
City: Newton
State: Kansas
ZIP Code: 67114-0467
Phone: (316) 284-6400

Specialties & Taxonomy Codes

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

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