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Tina Broadsword, LMSW
NPI 1730714247 · on the registry since 2020 · sole proprietor
Practice
- Address
- 14950 N Coeur Dalene St
Rathdrum, ID 83858 - Phone
- (208) 687-0538
- Fax
- (208) 687-3185
Additional practice sites
- 700 W Ironwood Dr Ste 130, Coeur D Alene, ID
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 104100000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-12-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho