Wayne Bingham Timonen LMSW

NPI 1093813446 - Social Worker - 1041C0700X

NPI Details
NPI 1093813446
Gender Male
Enumeration Date 09/20/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
7905 N MEADOWLARK WAY
SUITE C
COEUR D ALENE ID, 83815-5041, US
Phone (208) 762-3979
Fax (208) 762-4419
Business Location
7905 N MEADOWLARK WAY
SUITE C
COEUR D ALENE ID, 83815-5041, US
Phone (208) 762-3979
Fax (208) 762-4419
Toxanomy
Taxonomy Code 1041C0700X
License State Idaho
License Number LMSW-24503
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According to our database, Wayne Bingham Timonen LMSW NPI is 1093813446, taxonomy code is 1041C0700X and license number is LMSW-24503, license state is located at Idaho. Wayne Bingham Timonen LMSW physically located at 7905 N Meadowlark Way, Coeur D Alene ID, 83815-5041. NPI Number Wayne Bingham Timonen LMSW has the Individual type.

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1093813446 NPI number is provided on an as is basis without warranty of any kind. 1093813446 is maintained by the National Plan & Provider Enumeration System. The contents of Wayne Bingham Timonen LMSW are for informational purposes only.