Individual
MICHELLE BUKKHEGYI
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Credential
LMSW
Contact information
Practice address
2825 S MERIDIAN RD STE 150, MERIDIAN, ID 83642-7960
(208) 297-9495
Mailing address
2825 S MERIDIAN RD STE 150, MERIDIAN, ID 83642-7960
(208) 297-9495
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
8361071
ID
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
07/16/2024
Last updated
09/05/2024
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