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Individual

STEPHEN R FLICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
8601 W EMERALD ST, SUITE 150, BOISE, ID 83704-4810
(208) 321-0634
(208) 321-1082
Mailing address
8601 W EMERALD ST, SUITE 150, BOISE, ID 83704-4810
(208) 321-0634
(208) 321-1082

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCSW-1072
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000010163800
BLUE SHIELD
ID
01
L6026
BLUE CROSS
ID
Enumeration date
01/29/2008
Last updated
01/29/2008
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