Individual
TIFFINI LYNN AICHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPRP
Contact information
Practice address
2705 E 17TH ST, AMMON, ID 83406-6601
(208) 346-7500
Mailing address
PO BOX 2238, IDAHO FALLS, ID 83403-2238
(208) 221-2898
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
4864970
ID
Other
Enumeration date
02/27/2017
Last updated
02/27/2017
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