Liesje Chantal Bouwman, LMSW

NPI #1922819531 in Driggs, Idaho

Provider Information

NPI Number: 1922819531
Entity Type: Individual
Name: Liesje Chantal Bouwman, LMSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LMSW
Enumeration Date: Jan 14, 2025
Last Updated: Jan 14, 2025

Practice Location

Address: 89 N MAIN ST
City: Driggs
State: Idaho
ZIP Code: 83422-5141
Phone: (307) 734-6040

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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