Individual
MS. STACEY HALLMARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
815 N COLLEGE RD, TWIN FALLS, ID 83301-3484
(208) 814-9100
(208) 814-9903
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
073902-1
NY
1041C0700X
Clinical Social Worker
Primary
8851860
ID
Other
Enumeration date
11/29/2012
Last updated
12/03/2024
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