Individual
KIM HEGG JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
204 10TH AVE S, NAMPA, ID 83651-3832
(208) 466-2229
(208) 466-2667
Mailing address
3322 E RED STONE DR, BOISE, ID 83712-8582
(208) 863-3601
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
34033
ID
Other
Enumeration date
04/02/2019
Last updated
04/02/2019
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