Individual
STEPHANIE LYNN RUGGIERO-BODDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
504 MAIN ST, SUITE 444, LEWISTON, ID 83501-1803
(208) 750-3000
(208) 750-1244
Mailing address
504 MAIN ST, SUITE 444, LEWISTON, ID 83501-1803
(208) 750-3000
(208) 750-1244
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/15/2011
Last updated
03/19/2012
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