Individual
MRS. DUSTINA BECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
801 POLE LINE RD W, TWIN FALLS, ID 83301-5810
(208) 814-5802
Mailing address
2720 SUN MEADOW DR, TWIN FALLS, ID 83301-8968
(208) 320-1992
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-34206
ID
Other
Enumeration date
10/06/2017
Last updated
11/05/2017
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