Individual
HEATHER KAYE DUNNAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
223 N 6TH ST STE 320, BOISE, ID 83702-6036
(208) 863-4682
Mailing address
4230 W FAIRMONT ST, BOISE, ID 83706-2011
(208) 863-4682
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-31766
ID
Other
Enumeration date
04/29/2014
Last updated
04/29/2014
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