Individual
MRS. AUGUSTINE LARSEN RUFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
148 S COLE RD, BOISE, ID 83709-0932
(208) 683-8320
Mailing address
148 S COLE RD, BOISE, ID 83709-0932
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
5261071
ID
Other
Enumeration date
08/16/2024
Last updated
08/16/2024
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