Individual
MARIA WEEKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5593 N GLENWOOD ST, BOISE, ID 83714-1336
(208) 871-5293
Mailing address
PO BOX 448, KUNA, ID 83634-0448
(208) 871-5293
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/10/2021
Last updated
02/10/2021
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