Individual
RAQUEL GALVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12 E BULLION ST, HAILEY, ID 83333
(208) 539-4167
Mailing address
PO BOX 3971, HAILEY, ID 83333-3971
(208) 539-4167
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
07/08/2022
Last updated
07/08/2022
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