NPI 1194446542

Esca Koegelenberg

Practitioner Social Worker Payette, ID

Practice location

Address: 250 S Main St, Payette, ID 83661-2853
Phone: (208) 405-0020
Mailing address: 2805 Allen St, Dallas, TX 75204-4018

Registered specialties

Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 104100000X

Other Social Worker providers in Idaho →

Registry record

NPI: 1194446542
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Sep 2022
Record last updated: 5 Sep 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.