Individual
AUGUSTA KUMBA COX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1302 E 17TH ST, IDAHO FALLS, ID 83404-6270
(208) 542-9919
Mailing address
1302 E 17TH ST, IDAHO FALLS, ID 83404-6270
(208) 542-9919
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-43147
ID
Other
Enumeration date
12/22/2023
Last updated
12/22/2023
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