Individual
HEATHER MOSQUEDA CRIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
270 W GEORGIA AVE, NAMPA, ID 83686-2835
(208) 463-0212
Mailing address
6322 W ROBERTSON DR, BOISE, ID 83709-2173
(208) 571-9709
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-39389
ID
Other
Enumeration date
05/04/2020
Last updated
05/04/2020
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