Individual
ANGELA BAIRD HEPWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
25612 KINGSBURY RD, MIDDLETON, ID 83644-5349
(208) 870-2069
Mailing address
372 S EAGLE RD, # 117, EAGLE, ID 83616-5908
(208) 870-2069
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5850
ID
Other
Enumeration date
12/19/2016
Last updated
12/19/2016
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