Individual
LINDSAY HEIDEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
228 S HOLLY ST, NAMPA, ID 83686-5104
(574) 323-5881
Mailing address
228 S HOLLY ST, NAMPA, ID 83686-5104
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000000
—
ID
Enumeration date
01/14/2022
Last updated
01/14/2022
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