Individual
DR. RICHARD I. HOOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW, PH.D.
Contact information
Practice address
921 S 8TH AVE STOP 8256, POCATELLO, ID 83209-0002
(208) 269-0442
Mailing address
921 S 8TH AVE STOP 8256, POCATELLO, ID 83209-0002
(208) 269-0442
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-27687
ID
Other
Enumeration date
02/12/2007
Last updated
07/08/2007
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