Individual
MRS. HEATHER MARIE DEUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
550 POLK ST STE A, TWIN FALLS, ID 83301-3916
(208) 814-9100
(208) 814-9140
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LMSW-40597
ID
1041C0700X
Clinical Social Worker
Primary
8861558
ID
Other
Enumeration date
09/24/2021
Last updated
11/27/2024
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