Individual
MS. HEATHER MARIE OPHIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
190 E BANNOCK ST, BOISE, ID 83712-6241
(415) 328-3792
Mailing address
205 N BRUCE AVE, BOISE, ID 83712-6306
(415) 328-3792
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
06/06/2023
Last updated
06/06/2023
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