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Individual

KRISTIN SUE RICHARDS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
2000 N LARCH ST, BOISE, ID 83706-1020
(208) 353-3215
Mailing address
2000 N LARCH ST, BOISE, ID 83706-1020
(208) 353-3215

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCSW-1064
ID

Other

Enumeration date
07/27/2020
Last updated
07/27/2020
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