Individual
CHERYL LYNN FESPERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
120 DESERT SAGE WAY, MOUNTAIN HOME, ID 83647-1038
(208) 587-3988
(208) 587-3324
Mailing address
120 DESERT SAGE WAY, MOUNTAIN HOME, ID 83647-1038
(208) 587-3988
(208) 587-3324
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-44164
ID
Other
Enumeration date
09/20/2023
Last updated
03/18/2024
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