Lisa H Shine, LMSW

NPI #1831373125 in Council, Idaho

Provider Information

NPI Number: 1831373125
Entity Type: Individual
Name: Lisa H Shine, LMSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LMSW
Enumeration Date: Dec 21, 2007
Last Updated: Dec 21, 2007

Practice Location

Address: 205 NORTH BERKLEY AVE
City: Council
State: Idaho
ZIP Code: 83612
Phone: (208) 253-4242

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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