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Individual

BRIAN WERNER HUCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSW, LCSW

Contact information

Practice address
450 W STATE ST STE 100, EAGLE, ID 83616-7055
(208) 381-5970
(208) 381-5971
Mailing address
5557 W KINCREAG ST, BOISE, ID 83714-1350
(208) 284-4101

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
L6128
OR
1041C0700X
Clinical Social Worker
Primary
LCSW-34027
ID

Other

Enumeration date
07/13/2011
Last updated
06/19/2023
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