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Contact Information

DORA L AXTELL, LCSW
111 BEVER GRADE
LAPWAI, ID83540
 Phone: 208-843-7244
 Fax: 208-843-7394
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for DORA L AXTELL · (Female)

NPI Number 1215695804
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 12/01/2021
Last updated 06/03/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • ID License # 8861709
  • ID License # LMSW-41113
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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