Individual
JOYCE BRANDES HICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNCS
Contact information
Practice address
7735 W RIVERSIDE DR, BOISE, ID 83714-6182
(208) 853-8536
(208) 853-2929
Mailing address
7711 W RIVERSIDE DR, BOISE, ID 83714-6182
(208) 853-8536
(208) 853-2929
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CNS-26
ID
Other
Enumeration date
04/24/2009
Last updated
04/24/2009
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