Individual
CASSANDRA JEAN HINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 831-2222
Mailing address
902 E BOISE AVE, BOISE, ID 83706-5113
(208) 908-1702
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
36826
ID
Other
Enumeration date
04/03/2018
Last updated
04/03/2018
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