Individual
BONNIE HORSBURGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2267 TETON PLZ, IDAHO FALLS, ID 83404-6486
(208) 524-4953
(208) 522-0141
Mailing address
2267 TETON PLZ, IDAHO FALLS, ID 83404-6486
(208) 524-4953
(208) 522-0141
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LMSW-29510
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
806878600
—
ID
Enumeration date
11/04/2009
Last updated
11/04/2009
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