Individual
KRISTA DENISE MOFFIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1224 1ST ST S, SUITE 306, NAMPA, ID 83651-3900
(208) 484-7974
(208) 442-8052
Mailing address
1224 S. FIRST STREET, SUITE 306, NAMPA, ID 83651
(208) 484-7974
(208) 442-8052
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW 32243
ID
Other
Enumeration date
07/06/2012
Last updated
07/06/2012
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