Individual
MARY E HILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2275 W BROADWAY ST, IDAHO FALLS, ID 83402-2902
(508) 524-7400
Mailing address
2275 W BROADWAY ST STE G, IDAHO FALLS, ID 83402-2902
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-39005
ID
Other
Enumeration date
07/16/2020
Last updated
07/16/2020
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