Individual
ROBERTO OLVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
90 HOPE DR BLDG 6000, MOUNTAIN HOME AFB, ID 83648
(208) 828-7520
Mailing address
90 HOPE DR. BLDG 6000, MT HOME AFB, ID 83648
(208) 828-7520
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-32940
ID
Other
Enumeration date
09/08/2008
Last updated
06/27/2018
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