Individual
MRS. TONIE KAY HEATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW26074
Contact information
Practice address
90 W JUDICIAL ST, BLACKFOOT, ID 83221-2715
(208) 782-2060
(208) 782-0209
Mailing address
90 W JUDICIAL ST, BLACKFOOT, ID 83221-2715
(208) 782-2060
(208) 782-0209
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW26074
ID
Other
Enumeration date
04/19/2007
Last updated
07/08/2007
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