Madsen, Wanda D
Madsen, Wanda D is an individual health care provider with primary practice located at 2003 Kootenai Health Way , Coeur D Alene ID 83814-6051. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Madsen, Wanda D can be contacted via phone (208) 625-4000.Contact Information
Primary practice address
2003 Kootenai Health Way
Coeur D Alene ID 83814-6051
Phone: (208) 625-4000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 754 | Idaho |
Profile Details
| NPI number | 1669572673 |
|---|---|
| LBN Legal business name | Madsen, Wanda D |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 22nd, 2006 |
| Last updated | Jan 28th, 2016 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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