Individual
MILDRED ANN TIKKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3308 N COLE RD, SUITE A, BOISE, ID 83704-4403
(208) 378-1122
(208) 378-1142
Mailing address
3308 N COLE RD, SUITE A, BOISE, ID 83704-4403
(208) 378-1122
(208) 378-1142
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCSW-846
ID
Other
Enumeration date
12/31/2009
Last updated
12/31/2009
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