Individual
MRS. DEBRA G. MUELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
500 W. FORT STREET, VA MEDICAL CENTER (531/122), BOISE, ID 83702
(208) 422-1000
(208) 422-1323
Mailing address
2344 E JULIET ST, MERIDIAN, ID 83642-1930
(208) 854-7029
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-28544
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LCSW-28544
DIVISION OF OCCUPATIONAL LICENSES
ID
Enumeration date
08/10/2006
Last updated
01/23/2024
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