Adetta D Umphenour, LMSW

NPI #1922606383 in Bonners Ferry, Idaho

Provider Information

NPI Number: 1922606383
Entity Type: Individual
Name: Adetta D Umphenour, LMSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LMSW
Enumeration Date: Oct 16, 2020
Last Updated: Oct 16, 2020

Practice Location

Address: 6615 COMANCHE STREET
City: Bonners Ferry
State: Idaho
ZIP Code: 83805
Phone: (208) 267-1718

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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