Individual
YISKA HUGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6600 W EMERALD ST, BOISE, ID 83704-8738
(208) 609-9020
Mailing address
1650 S TOPAZ WAY, MERIDIAN, ID 83642-4474
(208) 605-7070
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-37056
ID
Other
Enumeration date
01/03/2022
Last updated
12/22/2022
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