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Organization

HEALING BY FIRE ART GLASS THERAPY

Active
Other names
Healing By Fire Art Glass Therapy
Organization subpart
No

Provider details

NPI number
Authorized official
DANIEL T AULT LMSW (EMPLOYEE)
(208) 615-9575
Entity
Organization

Contact information

Practice address
12768 S CLOVERDALE RD, KUNA, ID 83634-2520
(208) 353-2838
Mailing address
12768 S CLOVERDALE RD, KUNA, ID 83634-2520
(208) 353-2838

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
02/22/2022
Last updated
02/22/2022
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