Individual
MRS. RUTH M VONK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6311 W RANDOLPH DR, BOISE, ID 83709-2161
(208) 968-1141
(208) 321-7750
Mailing address
6311 W RANDOLPH DR, BOISE, ID 83709-2161
(208) 968-1141
(208) 321-7750
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-829
ID
Other
Enumeration date
03/04/2013
Last updated
03/04/2013
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